Health

Officials in New York and New Jersey have issued an air quality health alert because of wildfire smoke just days before the World Cup final.

Haze caused by Canadian wildfires has blanketed the New York region, prompting officials to urge residents to reduce outdoor exertion and stay indoors if possible.

New York New Jersey Stadium – which is in East Rutherford, New Jersey – will host the final between Spain and Argentina on Sunday, 19 July (20:00 BST).

Conditions deteriorated just before Spain landed in New Jersey on Wednesday night, a day after their semi-final victory over France in Texas.

Spain spent Thursday training outdoors, looking unaffected by the air quality. They have not commented on whether they are concerned.

Argentina, meanwhile, stayed in Georgia after their semi-final win over England, but will begin training in New Jersey on Friday afternoon.

Contractor Dan Edgar said his daughter Kaitlynn was practising at New York New Jersey Stadium on Thursday, where she will be dancing and performing for the final.

“She’s texting me that it’s bad out there,” he said. “It’s hard to dance, she says you can feel the air, it’s heavy.”

The smoke-filled sky and extremely hot temperatures have already been experienced by some footballers. The National Women’s Soccer League (NWSL) went ahead with a match between Gotham FC and Washington Spirit on Wednesday night in front of a record crowd at Citi Field in Queens despite the orange haze.

The air quality index meant players were mandated to take two breaks per half according to NWSL policy.

Washington Spirit’s Trinity Rodman said after the match that the air quality was rough, and in her opinion, they shouldn’t have played.

Rodman said: “Not to make excuses at all, but I think on both sides we were all like, ‘another break, another break, another break’.”

New Yorkers are relieved conditions are not as intense as they were in June 2023, when the skies turned completely orange because of Canadian wildfires.

New York New Jersey Stadium is an open-air facility, but at the moment there is no suggestion the World Cup final, with more than 80,000 spectators and a star-studded half-time show, will be affected.

The air quality in the area is expected to improve on Friday while forecast rain on Saturday should further help disperse some of the smoke.

On Thursday, the Major League Soccer match between Chicago Fire and Vancouver Whitecaps was postponed because of poor air quality conditions in the Chicago area.

Former Bayern Munich and Barcelona striker Robert Lewandowski was set to make his debut for Chicago having joined as a free agent last month.

JESY Nelson says she “can’t stop crying” over her “bittersweet” victory to test all babies in England with SMA – knowing it came too late for her twin daughters.

The groundbreaking rule change comes as the former Little Mix star faces fresh heartache over her one-year-old kids, Ocean Jade and Story Monroe, whose latest test results sparked concern following treatment for the muscle-wasting disease.

It’s feared the girls will never be able to walk after a late diagnosis of the life-threatening condition Spinal Muscular Atrophy Type 1.

In her new Prime Video show, Jesy Nelson: Life Changing, the singer breaks down in tears over the guilt she carries and worries her children will blame her, when they’re older, for not spotting the signs sooner.

Jesy told The Sun: “I know it’s not my fault, but when I watch back videos of when I brought them home and they were kicking their legs, I realise now that over the course of a month, they just stopped.

“That’s the part where the guilt kicks in because I don’t understand how I didn’t see that. Why didn’t I spot that?

HELL & BACK

I had first look at Jesy Nelson’s new doc… watching her break apart stunned me

TEST WIN

Victory for Jesy Nelson as all babies to get free tests for muscle wasting disease

“But when I left the neonatal ward, I was constantly told to check their temperature, make sure you’re monitoring their breathing and there was so much other stuff that I was looking out for because they were premature babies.

“I just honestly didn’t focus on the movement of their legs.

“Thank God for my mum, because God knows what position I would have been in if she hadn’t spotted it.

“That will probably never leave me. I’ll be honest, I don’t think it ever will. But I really hope as they get older, they understand how flipping amazing they are because they are the most resilient little girls I’ve ever known.

“I’m literally in awe of them. Even with what they have to endure every day, they are the happiest babies.”

At Ocean and Story’s most recent three-month review at St Ormond Street’s Children’s Hospital, doctors warned Jesy the girls were not responding to treatment the way they had hoped.

She said: “Unfortunately, some of the numbers have gone down. We had a long discussion and there’s a possibility they may have to go back on treatment, which is just heartbreaking.

“I constantly battle between manifesting they’re going to defy the odds and trying to come to accept that that may not happen.

“It’s a really weird position to be in because you you think ‘well, if that doesn’t happen, am I just going to feel heartbroken for the rest of my life?’

“Then you worry, if I accept it, am I also manifesting that?”

She added: “I don’t ever want them to feel any less than or feel like it defines them. I really want them to know how special they are.

“I want this to be their little superpower.”

Speaking candidly, Jesy admits the success of her campaign for a breakthrough rule change – adding screening for spinal muscular atrophy to the NHS‘s newborn blood spot test – was a tough pill to swallow.

Every year 50 babies born with the condition will now find out they carry the genetic condition at birth. It means they can be given treatment before nerves and muscles are damaged beyond repair.

Jesy said: “I’ve not stopped crying, I don’t know what’s wrong with me. I just keep going through waves of emotions. I’ve had an outpouring of messages from families within the SMA community.

“It’s just a real weird one because obviously there’s a lot of mixed emotions. I think for people dealing with children that have got SMA, who got diagnosed too late, feel it’s almost a bit bittersweet.

“It’s a tough pill to swallow to know that, yes, this change is amazing and I really don’t want to take anything away from it, but if only this had been here for our children.

“It’s just sad because so many families have campaigned about this for years.

“So yeah I’ve going through a real mix of emotions, but ultimately I am super proud. I’m ridiculously proud and cannot wait until our children are old enough to tell them they’ve played a massive part in change.”

Her new Prime Video doc is released on Friday, July 17.

The 60-minute episode shows the moment Jesy finds out her daughters’ diagnosis and her grit and determination to launch her campaign.

While a phased rollout will begin in October 2026, Jesy’s fight continues to raise awareness of the condition because the screening won’t be available in other parts of the UK.

“I hope as many people as possible see the documentary because I wanted to raise as much awareness as I could about it and the signs to look out for.

“As amazing as the rollout is, Northern Ireland and Wales are still not part of the heel-prick test, meaning many babies will still be undiagnosed and not treated in time.

“I’m just praying that if they watch this documentary, they will spot the signs early enough, take them to the doctor and get them treatment.”

• Jesy Nelson: Life Changing will be available exclusively on Prime Video on July 17.

Uganda ⁠discharges last-remaining patient, as WHO says Ebola has ‘expanded faster than any previous outbreak’ in DRC.

The World Health Organization (WHO) has warned that Ebola is spreading in the Democratic Republic of Congo more quickly than in any previous outbreak.

WHO chief Tedros Adhanom Ghebreyesus told reporters on Thursday that the Ebola outbreak in the DRC in 2018-2020 “took more than 10 months to reach 2,000 confirmed cases”. But this time more than 2,000 cases were confirmed in only two months, including 796 deaths.

“It is now the third-largest Ebola outbreak on record,” Tedros said. “In the past month, it has expanded faster than any previous outbreak.”

The DRC reported 62 new cases on Thursday, increasing its total number of confirmed infections to 2,073, though the ⁠⁠WHO has said the ⁠⁠true tally could be at least double that.

The DRC’s 17th Ebola outbreak was declared on May 15 after several deaths in Ituri, the mineral-rich northeastern province patrolled by several armed groups.

Cases of Ebola, which spreads through close contact and infected bodily fluids, have so far been found in five DRC provinces and neighbouring Uganda, though the vast majority are in Ituri.

The WHO chief highlighted that over 80 percent of new cases were being detected “outside known contact lists, showing that transmission chains are still being missed”.

He added that 377 people have recovered from Ebola in the DRC, “showing that with early diagnosis and safe care, this disease can be survived and stopped”.

To compound problems in Ituri, healthcare workers began a strike and blocked the entrance to Bunia General Hospital on Wednesday. Staff said they had not received any compensation for their work since the outbreak began, despite working under extremely difficult conditions.

In Uganda, things were looking up as its last remaining Ebola patient was discharged on Thursday, starting a 42-day countdown after which it can ⁠⁠be declared Ebola-free, said the East African nation’s health ministry.

Uganda had 20 cases of the rare Bundibugyo strain of Ebola since mid-May. Fifteen were people infected in the DRC who then travelled to Uganda.

Unlike the surging number of infections in DRC, Uganda has not reported a new case since June 22 .

“Today, Uganda has discharged the last Ebola patient, a Congolese national who has successfully recovered and [is] ⁠⁠ready to be with his family,” Uganda’s health ministry posted on X.

“Uganda starts ‌‌counting down. If 42 days pass without a single new case, WHO guidelines stipulate ‌‌that we will be declared Ebola-free.”

Employers are bracing for what could be the highest rise in health insurance premiums in 16 years in 2027, driving up the average cost of family coverage in California to more than $30,000 — the price of a new compact car.

Health insurance companies expect the cost of medical services and prescription drugs to soar by 9% in 2027, according to a new survey by PwC, the highest rise the researchers have found since 2011. Insurers use those expected medical costs to calculate the price of premiums in the coming year. Many employers require workers to pay part of that cost.

Experts say the escalating costs of employers’ premiums are reducing workers’ wages and take-home pay, while raising the prices of goods and services in California and across the country.

“It’s going to erode the standard of living for lots of California families,” said Glenn Melnick, a USC professor of healthcare finance.

Melnick said when employers are forced to spend more on health insurance, there is less money available for wages. The skyrocketing premiums, he said, are like a hidden pay cut for working families.

The higher cost also has small-business owners wondering whether they can continue paying for their workers’ health insurance.

Co-owner Camden Avery makes a sale at the Booksmith in San Francisco.

(Josh Edelson / For The Times)

This year, premiums for staff at the Booksmith, an independent bookstore on Haight Street in San Francisco, leaped by 17%, said Christin Evans, the store’s owner. Next year could bring even more pain. The monthly premium for four employees is $3,250.

To try to cope, Evans said, she has reduced staff hours by closing the store earlier.

“We have to absorb it,” she said. “We’re not paying the wages we want to pay or delivering the customer service we’d like to deliver.”

Seventeen million Californians receive health benefits from an employer. Those premiums have been rising faster in California than the national average.

Between 2022 and 2025, the average family premium for employers in the state rose by 24% to $28,397, according to a survey by KFF and the California Healthcare Foundation. That was nearly double the 12.2% increase in consumer prices during those years.

Hospital, pharmaceutical and other medical costs escalated even faster after 2025.

PwC’s annual survey of insurers last year found an expected rise of 8.5% in 2026, which its researchers later revised to 9%.

A key driver of the rising medical costs, according to experts, is prices charged by hospitals. In recent years, some health systems, including UCLA and Cedars-Sinai, have grown larger by buying nearby hospitals and expanding their clinics, becoming more dominant in the community and reducing competition.

Melnick said the expansion of some health systems into giant organizations means that they can “tell insurance companies what the price will be.”

A Cedars-Sinai spokesperson pointed to a 2022 paper that found that for-profit health system prices had escalated faster than those at nonprofit systems like Cedars. The paper was partly funded by Cedars.

“Cedars-Sinai Health System’s growth in recent years has expanded access to the highest levels of patient care and medical innovation across the Los Angeles region,” the spokesperson said.

UCLA did not respond to requests for comment.

Another factor is the rising cost of prescription drugs. Spending on cancer drugs, the most costly category, reached $143 billion in 2025, an annual increase of 12%, the PwC survey found.

The nation’s spending on obesity medicines, including GLP-1 drugs such as Ozempic and Wegovy, soared by 81% last year, PwC said. A 30-day supply of the drugs lists for more than $1,000.

An Ozempic injection pen.

(Christina House / Los Angeles Times)

Gallup said this month that its survey found that 11% of U.S. adults are now taking the GLP-1 drugs for weight loss.

The obesity drug manufacturers say the medicines can reduce medical expenses by preventing other costly conditions such as diabetes and heart disease, but data don’t yet show such reductions, PwC said.

Researchers at the California Healthcare Foundation say a large part of the problem is that hospital operating costs, prescription drug prices and doctor fees have been allowed to grow unchecked for decades.

The foundation estimated in a report last year that 25 cents of every dollar spent in California — more than $73 billion each year — does nothing to help patients. Instead it goes to excessive profits for providers, administrative red tape and other waste, the foundation found.

California employer premiums are expected to rise next year for another reason: Gov. Gavin Newsom and lawmakers agreed in June to raise taxes on the private plans to help pay for the cost of Medi-Cal, which covers the medical costs for the poor, and to help balance the state budget.

The California Assn. of Health Plans said insurers will add the tax to next year’s premiums. The trade group estimates the higher tax will cost each insured person $100 next year or $400 for a family of four.

The higher tax must still be approved by the Trump administration. Republicans in the state Assembly wrote a letter to the administration this month, asking officials to deny the request.

Researchers also expect a jump in premiums for families without employer insurance who purchase policies on state marketplaces such as Covered California. Some of those families faced double-digit increases this year because of rising medical costs and the end of enhanced federal subsidies that Congress had approved as a temporary measure during the pandemic. Almost 400,000 Californians dropped their Obamacare plans this year as prices soared.

To deal with the higher premiums, some employers are changing the design of their health plans to shift more of the cost to workers by raising deductibles and co-pays.

Those higher out-of-pocket costs are just the beginning of the fallout. Twenty-two percent of chief financial officers surveyed by Mercer in February said the high price of health benefits had forced them to stop hiring or led to layoffs. Thirty-six percent of those executives said the rising premium costs have harmed workers’ wages and raises.

Candice Elliott, a human resources consultant in Santa Cruz, said smaller businesses such as restaurants struggle to find ways to cover the higher costs.

Many restaurants, Elliott said, already have a slim margin between their revenues and expenses. When premiums rise, she said, some restaurants have added a fee to the customer bill to help cover workers’ health costs. Others have hiked menu prices.

“That impacts affordability for the consumer,” Elliott said. “It makes inflation greater.”

Some small businesses have moved from so-called silver plans to the lower-priced bronze plans, she said, which cover less of the employee’s monthly premium. “It’s effectively a decrease in pay for the employee,” she said.

Others are hiring employees overseas, Elliott said. “You can pay someone in the global south half of what you pay an American and still afford them a good standard of living and benefits that are unaffordable in the U.S.,” she said.

Melnick, the USC professor, said many workers don’t realize how much they are losing as their employers’ premiums rise. He tells people to look at their W-2 tax form from last year, where employers are required to report the cost of the employee’s premium in box 12, under “Code DD.”

He said USC’s premium for his family of four is $45,000.

“The base is so high that even a small increase has a big impact,” he said. The continuing annual increases, he said, are “bad news for everybody.”

Monitor ranks Toronto as having the worst air quality on earth, surpassing Kinshasa, DR Congo, and New Delhi, India.

Toronto’s air quality has ranked the worst among all major cities in the world as smoke from wildfires in northwestern Ontario blankets the skies and spreads into the northeastern United States, triggering multiple health warnings and evacuations.

Wildfires continued burning through sparsely populated areas hundreds of miles from Toronto, Canada’s largest city, on Wednesday, sending smoke over a wide area, although cities in the area are not being threatened.

Environment Canada reported an Air Quality Health Index reading of 10+, classified as “very high risk”, for Toronto. Forecasts suggested that hazardous conditions could persist through Thursday night.

IQAir, a Swiss air quality technology company, ranked Toronto as having the worst air quality across the globe, surpassing the Democratic Republic of the Congo’s Kinshasa and India’s New Delhi.

“The biggest contributor to Toronto’s spike in air pollution right now is wildfires, though the higher-than-average temperatures are also playing a role,” Armen Araradian of IQAir told the AFP news agency.

While this year’s wildfire season in Canada has been fairly muted compared with recent years, there are more than 800 active fires nationwide.

A video that went viral on social media showed a Canadian National train surrounded by fire near Armstrong, Ontario. Canadian National employees in the area and residents of Armstrong were evacuated on Monday night, the railroad operator said in a statement. It suspended rail operations near Armstrong as a precaution.

Smoke from the wildfires also worsened air quality across the border in the US, with the states of Pennsylvania, New York, Connecticut, Massachusetts, Maine and New Hampshire particularly affected.

Authorities in New York City have issued an alert over unhealthy air quality, urging residents to reduce strenuous outdoor activity and take extra breaks if they are outside on Wednesday and Thursday.

The National Weather Service said smoke could linger until the end of the week.

“We probably haven’t seen the worst of it yet for New York City. We probably haven’t seen the worst of it yet for the Great Lakes and upstate, and New England yet either,” Dan Westervelt, Lamont associate research professor at Columbia University, told the Reuters news agency.

More than 80,000 people are expected to attend the FIFA World Cup final at an open-air stadium in New Jersey on Sunday, with another 50,000 planning to watch the game from New York City’s Central Park, where skies appeared hazy.

New York Governor Kathy Hochul urged people, especially those with health conditions, to exercise caution.

The Canadian government has said that wildfire season began more slowly this year than in 2023 or 2025 – the two worst seasons for wildfires – but warned that fires were likely, due to warmer-than-usual temperatures across the country.

It said some 835 active fires were burning across the country on Wednesday, with 112 considered out of control, and most in the central provinces of Manitoba, Saskatchewan and Ontario.

They have burned 1.9 million hectares (4.7 million acres) so far.

Greg Evans, a professor of chemical engineering and applied chemistry at the University of Toronto, said the city had been simultaneously hit with severe heat and wildfire smoke.

“I expect that this will occur more frequently over the coming decades, so cities and residents need to prepare for this in the future,” he said.

NEW YORK — The sudden death of Sen. Lindsey Graham, a top ally of President Trump and one of Washington’s best-known politicians, is renewing focus on the country’s aging lawmakers.

Graham, a South Carolina Republican who had turned 71 just two days before dying on Saturday, was far younger than many of his Senate colleagues and appeared to have been in good health. He suffered a tear in his aorta, according to a preliminary report from the medical examiner.

It was the second time in less than a month that emergency personnel were dispatched to the home of a U.S. senator. In early June, Mitch McConnell of Kentucky, the former Republican Senate leader, was hospitalized for undisclosed reasons.

After weeks of increasingly dire speculation about his health, he finally revealed on Sunday that he had fallen and suffered from mild pneumonia. He released a photo, complete with a copy of the day’s newspaper.

Graham’s death and McConnell’s hospitalization have come amid an ongoing reckoning about the nation’s aging leaders, two years after the disastrous presidential debate that sparked widespread panic among Democrats about then-81-year-old President Biden’s capacities and accusations of a cover-up.

Some politicians have continued to obscure details about their health challenges, asking for privacy despite their public positions, and fueling conspiracy theories.

“I think we need some transparency,” Sen. John Cornyn (R-Texas) said Monday. “I wish Sen. McConnell and his team would have done that earlier. I think it would have resolved a lot of questions.”

McConnell is admitted to a hospital

McConnell, who at 84 is only the third-oldest member of the Senate, was admitted to the hospital on June 14 with barely any explanation. Aides said he was “receiving excellent care” but offered no details about his condition.

The dearth of information fueled a wave of speculation about his prognosis, with Laura Loomer, a Trump ally and conspiracy theorist, claiming on social media that a “high level source close to the White House” had told her he was “officially brain dead.”

But McConnell, who will retire from Congress at the end of January after serving as the longest-ever Senate leader, said in a statement that he is on the mend. He said a fall had led to his hospitalization and that he was “briefly unconscious” and treated for mild pneumonia.

“You all know how folks of my generation often hesitate to share the vulnerability that comes with growing older,” he said. “Even in the public eye, I feel that same instinct — I can’t help it.”

That wasn’t enough to put speculation to rest. On social media, many refused to believe the veracity of a photo his office released that included the front page of the sports section of the Washington Post.

Conspiracy theories about McConnell’s health are “a symptom of our times,” said Sen. Rand Paul, a Republican who is also from McConnell’s home state of Kentucky. Paul said people should “give him a break.”

“People think they have a right to know everyone’s medical problems,” he said, “but I don’t know, where does it begin and where does it end?”

Trump’s medical reports offer limited details

The oldest person ever elected president, at age 78, has long offered only the rosiest picture of his health.

“Everything checked out PERFECTLY,” he boasted after his last physical in May, adding that he took yet another cognitive test aimed at detecting early dementia and has “aced them all.”

His past medical reports have been criticized for offering limited detail and including statistics that some health professionals have viewed with skepticism.

When he first ran for president in 2016, Trump declined to release his health records, breaking with longtime precedent. He instead offered a four-paragraph note from his doctor declaring that he would be “the healthiest individual ever elected to the presidency.” Rep. Ronny Jackson (R-Texas), White House doctor during Trump’s first term, later drew headlines when he extolled the president’s “incredibly good genes.”

When he was infected with COVID-19 in the midst of his 2020 reelection campaign, Trump’s doctors and aides withheld key details of his treatment and tried to downplay the severity of his illness.

And after an attempted assassination at a Pennsylvania rally, Trump aides kept the public in the dark for days, declining to discuss the extent of his injuries or release medical records after assuring he was “fine.”

Kean Jr. goes absent for months

The obfuscation extends beyond the septuagenarian and octogenarian set. New Jersey Republican Rep. Tom Kean Jr. spent four months missing without explanation before he finally disclosed late last month that he had been in treatment for depression.

He said in a brief floor speech after his return that he had remained silent about his condition because he is a “private person by nature.”

He won an uncontested primary during his absence, despite missing more than 100 votes in the House, and is running for reelection.

The approach stood in contrast to Sen. John Fetterman, a Pennsylvania Democrat, who disclosed his hospitalization for clinical depression the day after he was admitted to Walter Reed National Military Medical Center for treatment. He also suffered a stroke while running for office.

Biden’s stumbles doom his reelection effort

Biden’s halting gait, frail appearance and frequent verbal stumbles eventually doomed his 2024 reelection campaign. After a debate in which he frequently lost his train of thought, he chose to withdraw from the race, sparking an unprecedented swap at the top of the Democratic ticket that ultimately paved the way for Trump’s return to office.

Many others have refused to retire. California Sen. Dianne Feinstein, a Democrat, died in office in 2023 at the age of 90, after years of declining health, including a bout of shingles. Though she returned to the Senate after her illness, she appeared frail and confused at times. It was later revealed that her office had failed to disclose in real time that she had contracted encephalitis while recovering.

Longtime Republican Rep. Kay Granger of Texas spent the final months of her more than two decades in Congress, when she was in her early 80s, suffering from what her office called “unforeseen health challenges” that made travel to Washington difficult.

Eleanor Holmes Norton, 89, the longtime House delegate for the District of Columbia, announced earlier this year that she would not run for reelection amid questions about her competency.

Colvin writes for the Associated Press. AP writers Mary Clare Jalonick and Lisa Mascaro in Washington contributed to this report.

A proposal to make daylight saving time the year-round default nationwide is once again coming before Congress.

And, as in the past in both California and nationally, proponents and opponents of the switch cite the potential effects (good or bad) on health, business and agriculture as reasons to support or oppose the plan.

The House is expected to vote on the Sunshine Protection Act this week, according to the office of Rep. Vern Buchanan (R-Fla.), the bill’s author.

The Senate version of the bill, SB 29, is sponsored by Sen. Alex Padilla (D-Calif.). In a statement last year he said, “More daylight after work means more business and more active, safer California communities.”

Most of the U.S. went on daylight saving time in the spring, moving clocks one hour ahead of standard time. The bill would end the “fall back” to standard time that typically takes place in November. The change would mean darker mornings and later sunsets. President Trump has indicated that he supports the plan.

It won’t be the first time the debate over timekeeping has made its way to Capitol Hill. In 2022, a bill to make daylight saving time permanent was approved by the Senate, but the effort stalled in the House.

“It’s clear that year-round daylight saving time is a popular, commonsense reform that will improve everyday life for millions of Americans,” Buchanan said in a statement to The Times. “Passing my bipartisan Sunshine Protection Act will bring us one step closer to ending the outdated and unpopular practice of changing our clocks twice a year.”

Areas that already do not observe daylight saving time would be able to stay on permanent standard time, according to the bill text. For example, Arizona and Hawaii do not move their clocks forward or backward.

Lawmakers in California and other states could opt out making daylight saving time permanent, but would need to decide before the law takes effect, Josh Gregory, a senior advisor to Buchanan, said in an email.

The effort has drawn support from both sides of the aisle. In California, Reps. Jay Obernolte (R-Big Bear Lake), Ken Calvert (R-Corona) and Young Kim (R-Anaheim Hills) are cosponsors of H.R. 139.

The proposal also has bipartisan opposition.

Sen. Tom Cotton (R-Ark.) has also been a vocal opponent of permanent daylight saving time. In a speech last year, Cotton argued that while year-round daylight saving time might benefit some activities and areas — such as golfing in Florida and Alabama — residents of northern states and on the western sides of time zones might not see the sun rise until 9 a.m. in the winter.

Cotton raised concerns that students would need to walk to school in the dark and risk being struck by drivers, as was the case in 1974 when the U.S. briefly adopted year-round daylight saving time to combat an energy crisis.

“The darkness of permanent daylight saving time would be especially harmful for schoolchildren and working Americans,” Cotton said.

Rep. Nanette Diaz Barragán (D-San Pedro) told The Times in a statement that she plans to vote against the bill because “medical experts have warned that permanent daylight saving time is bad for our health.”

She supports a different proposal, the Sunshine for Our Kids Act, which seeks to make permanent standard time the default nationwide but gives states the option to opt out. The bill, HR 9638, has been endorsed by the American Academy of Sleep Medicine.

Stanford professor Jamie Zeitzer, a physiologist who studies circadian cycles and how humans respond to light, supports ending the twice-a-year time changes.

The “spring forward” shift results in a loss of sleep and has been associated with a number of negative health effects, he said. The spring clock change has also been linked to more car accidents and cardiovascular incidents, he added.

Zeitzer’s research found that the darker mornings and brighter evenings of permanent daylight saving time weaken the circadian clock for many people.

“The abundance of biological evidence is clear that permanent standard time is a better solution,” Zeitzer said. “When you have a more robust light signal early in the morning, that will help keep your internal circadian system synchronized to the day.”

A 2025 AP-NORC survey found that the current system of changing the clocks twice a year is unpopular. According to the poll of nearly 1,300 U.S. adults, only 12% of respondents favored the current system, while 47% were opposed and 40% were neutral.

In the business world, there’s no consensus on making daylight saving time permanent. Many chambers of commerce and businesses that want to lure customers later in the day generally support it, while agricultural interests and some industries oppose it.

As for making standard time permanent, that faces opposition too. Among the opponents: golf course owners.

Jay Karen, the chief executive officer of the National Golf Course Owners Assn., testified at a congressional hearing in November that losing extra evening daylight could cost the industry $1.6 billion in green fees alone because so many Americans tend to golf in the afternoon or evening.

Buchanan’s office said in a statement that the “well-documented benefits of having more sunshine later in the day after school and after work will be beneficial for millions of Americans’ health and well-being.”

There have been previous attempts to put an end to the twice-annual clock adjustments in California.

In 2018, California voters approved Proposition 7, which was supposed to give the Legislature the authority to impose year-round daylight saving time — but only if the federal government allowed states to do so. It has not yet led to any meaningful change.

Earlier this year, state Sen. Roger Niello (R-Fair Oaks) introduced SB 1197, which seeks to “ditch the switch” by moving the state to permanent standard time.

A spokesperson for Niello’s office said that because his previous efforts failed to gain traction, his current proposal includes a provision requiring California to conform if the federal government adopts permanent daylight saving time.

Walkout over late payments comes as public health officials confirm that the virus has reached two more provinces.

Staff at a hospital treating Ebola patients in the Democratic Republic of the Congo (DRC) have gone on strike, alleging they have not been paid for months, bringing the facility to a standstill.

Dozens of employees at Rwampara General Hospital in Ituri province, the epicentre of the outbreak, walked off the job on Monday. The strike action came as authorities revealed that the virus has spread to two further provinces in northern DRC.

The striking workers included epidemiologists, case investigators, drivers and gravediggers.

“We don’t know how it is possible to not have been paid for two months,” Bahati Claude, a health worker at the centre, told The Associated Press.

The outbreak, concentrated in northern DRC, is the worst in Africa’s history and has already caused severe economic damage, pushing nearly one million people into poverty, according to the United Nations.

Efforts to hold back the spread of the virus have been complicated by the presence of paramilitary rebels, who control parts of the region in a bid to access its valuable mineral deposits.

The response to the outbreak has also been complicated by misinformation, deeply rooted burial practices and a lack of trust in health officials.

Health workers have been attacked by communities that believe the disease is a form of witchcraft, while bereaved families have ignored safety protocols by holding traditional burial ceremonies.

DRC’s National Public Health Institute confirmed on Sunday that the virus has spread to two new northeastern provinces: Haut-Uele and Tshopo.

The World Health Organization has warned that an accelerated response from local, national and international partners is urgently needed to bring the outbreak under control.

DRC Health Minister Roger Kamba said last week that the government was working to resolve the payroll issues and ensure employees were paid.

“We must ensure that these payments reach the right people,” Kamba said. “We have faced a few challenges, notably changes to the lists, which have led to complaints from people saying they are not being paid even though they are working. We have the means to sort this out.”

According to the latest figures, the number of Ebola cases in the DRC has risen to 1,926, with 702 deaths. The spread of the disease to Haut-Uele and Tshopo means five provinces now have confirmed Ebola cases.

The International Rescue Committee (IRC) has warned that the situation is worsening in areas already affected as transmission accelerates, while the risk of the disease spreading to neighbouring South Sudan is increasing as the outbreak expands into new areas.

Meanwhile, a second United States citizen infected with Ebola was admitted to a special isolation unit at Frankfurt University Hospital in Germany on Monday. Timo Wolf, head of the special isolation unit, said the patient’s condition was “currently stable”.

The man, who is in his 60s, was confirmed to have contracted the disease on Friday while working for a Christian aid group in the DRC.

NATALIE Imbruglia has opened up on receiving new mental health diagnoses while managing perimenopause.

The 51-year-old Aussie star who is best known for her hit single, Torn, revealed she was diagnosed with OCD (obsessive compulsive disorder) and ADHD (attention deficit hyperactivity disorder).

She was also dealing with the effects of perimenopause which made her “really angry” and would contribute to her anxiety before performing.

“You name it, there’s a sprinkle of it. They’re just labels. It’s not a negative, it’s my superpower,” she told The Sunday Times.

“But there’s a particular thing about my neurodiversity that’s hard for me to accept, which is how I get when I’m nervous before a show. Perimenopause made it worse.”

Natalie added: “Let’s just say it was a grieving process. I was really angry. I fell off a cliff. It felt like someone had taken some of my personality.”

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The singer and actress reached out to TV presenter Davina McCall, who has been a public menopause campaigner, for advice after battling feelings of “anger and anxiety.”

Natalie is now on HRT (hormone replacement therapy) which has helped her symptoms and she’s glad the topic has become less “shameful or taboo.”

Perimenopause refers to the time during which your body makes the natural transition to menopause, thus marking the end of a woman’s reproductive years.

A woman may begin transitioning sometime in her 40s. However, this transitional period happens at a different age for every woman, and it could happen as early as mid-30s.

Natalie rose to fame on Neighbours in the early 1990s and in 1997 kicked off her pop career with a cover of the Ednaswap song Torn.

Natalie has also appeared in the films Johnny English, Closed for Winter and Underdogs.

She has sold 10 million records worldwide, and is believed to have a net worth of around £10 million.

In 2019, Natalie revealed she had given birth to a son, Max Valentine whom she welcomed via IVF and a sperm donor.

Certain holiday destinations have seen a rise in cases of a nasty infection

British travellers have been issued a food warning amid an outbreak of a bug that causes “explosive” diarrhoea. Mexico and the US are among some of the holiday destinations that have seen a rise in cyclosporiasis.

Cyclosporiasis is an infection caused by a microscopic parasite called Cyclospora. This is typically spread by eating food or drinking water contaminated with human faeces containing the parasite.

Symptoms can include “watery diarrhoea” and “explosive bowel movements”, and can last several weeks. In an update provided on its website, Travel Health Pro explained that “most” UK cases have been linked to visits to Mexico.

It said: “Cyclospora is a parasite found in some tropical and subtropical countries. In the UK, infections are most commonly linked to summer travel abroad.

“Cyclospora has been found in Central and South America, South and Southeast Asia, and most UK travel-related cases and outbreaks have been associated with visits to Mexico.”

The US Centres for Disease Control and Prevention (CDC) also recently published data showing there had been 843 confirmed cases of cyclosporiasis in the US between May 1 and July 9 this year. No deaths have been reported, and 86 people were admitted to hospital, the CDC said.

As part of its advice, Travel Health Pro provided guidance on eating while abroad. It said: “People usually become infected by eating or drinking food or water contaminated with human faeces. Foods most commonly linked to Cyclospora include fresh produce such as soft or unpeeled fruit, lettuce, green salads and herbs like coriander or basil.”

It continued: “You can reduce your risk of Cyclospora infection by following good food and water hygiene, even if you are staying in a luxury hotel or high-end all-inclusive resort.” To do so it said you should:

• Wash your hands regularly with soap and clean water; use alcohol hand gel only when handwashing is not possible
• Where there is no clean water supply, drink only bottled or boiled tap water (this includes brushing your teeth)
• Avoid ice in drinks
• Avoid fresh produce that may not have been washed with bottled or boiled water, including berries, salads, vegetables and herbs like basil or coriander
• Choose fruit that you can peel yourself, such as bananas and oranges
• Eat food that has been freshly cooked and is served hot
• Remember that smoothies, juices and other drinks may contain raw fruit, herbs or vegetables

Symptoms

Travel Health Pro said: “Not everyone infected with Cyclospora will become ill. If you do get symptoms, they will usually start about a week after consuming contaminated food or drinks.”

Symptoms of Cyclosporiasis include:

• Watery diarrhoea
• Fever
• Stomach cramps
• Loss of appetite and weight loss
• Tiredness and muscle pain
• Bloating and excess wind
• Feeling sick

It said: “Cyclospora infections are usually mild and resolve themselves. However, symptoms can sometimes last for several weeks and return even after a person seems to have recovered. People with a weakened immune system, including those living with HIV, may be at greater risk of severe illness.”

The CDC added: “Cyclospora infects the small intestine (bowel) and usually causes watery diarrhoea with frequent and sometimes explosive bowel movements.”

When to seek help

Travel Health Pro says you should do the following if you become ill abroad:

• Drink plenty of “safe” fluids, such as bottled water, or tap water that has been thoroughly boiled and cooled
• Use oral rehydration solutions so that you do not become dehydrated
• Get early medical advice if you have a weakened immune system or are at higher risk of complications
• Seek medical help if your symptoms are severe or do not improve

If you are back in the UK, you should ask for an urgent GP appointment or get help from NHS 111 if you have diarrhoea and you’ve recently travelled abroad and:

• The diarrhoea is severe and has lasted for more than three days
• You have bloody diarrhoea or bleeding from your bottom
• You have a high temperature (fever)
• You are dehydrated
• You have a weakened immune system or other condition

The NHS said: “If you’re still abroad, get medical advice where you are as soon as possible.”

WASHINGTON — Sen. Mitch McConnell on Sunday revealed for the first time that a fall led to his hospitalization, breaking the silence about his condition after weeks of speculation about the Kentucky Republican’s health.

McConnell, 84, said in a statement that he has undergone a battery of tests as doctors try to determine what led to his fall. He explained the long silence about his condition by saying that “folks of my generation often hesitate to share the vulnerability that comes with growing older.”

“Even in the public eye, I feel that same instinct — I can’t help it,” he said.

McConnell said he is now in a rehabilitation center and will not be returning to the Senate “quite yet.” He said he continues to work with his staff on Senate business in the meantime.

The statement included a smiling picture of the senator with his wife, Elaine Chao, a tacit response to speculation online that McConnell had died or was incapacitated.

It comes following his hospitalization on June 14. McConnell’s office for weeks provided little information, saying only that he was “receiving excellent care” and recovering.

As his hospital stay grew longer, speculation about his condition became so intense that Kentucky Gov. Andy Beshear, a Democrat, took the extraordinary step of asking that McConnell update the public about his health in a “transparent manner.”

The Ebola outbreak in the Democratic Republic of Congo may be significantly larger than official figures indicate, with most new infections occurring outside known chains of transmission, raising concerns that health authorities are struggling to keep pace with the spread of the virus.

According to the World Health Organization (WHO), around 80% of newly confirmed Ebola patients in the outbreak’s epicentre are not identified through existing contact-tracing networks, suggesting widespread undetected community transmission.

The outbreak, declared in mid-May, has officially infected 1,792 people and killed 625, according to Congolese government figures released on Thursday. However, WHO modelling indicates the true number of infections could be two to four times higher.

WHO Emergencies Director Chikwe Ihekweazu told Reuters that in Bunia, the centre of the outbreak in Ituri province, four out of every five newly confirmed cases are emerging outside the lists of people already being monitored after exposure to infected patients.

Public health experts view contact tracing as one of the most effective tools for controlling Ebola. When large numbers of patients are not linked to known cases, it suggests the virus is circulating undetected in the community, making containment much more difficult.

In contrast, neighbouring North Kivu province has shown encouraging progress, with nearly all new infections occurring among previously identified contacts.

Transmission remains concentrated in eastern Congo

Around 90% of all confirmed cases remain concentrated in Ituri province, particularly in the health zones of Bunia, Rwampara, Mongbwalu and Nyakunde, where transmission remains intense.

The outbreak has nevertheless expanded beyond its original epicentre, reaching North Kivu, South Kivu and more recently Tshopo province.

In Bunia—a city of roughly one million people about half of all individuals tested for Ebola receive positive results, reflecting sustained community transmission.

Milder symptoms may be helping the virus spread

Health officials believe the Bundibugyo strain responsible for the outbreak may produce milder symptoms than other Ebola variants.

While this appears to improve survival prospects for patients who eventually reach treatment centres, it may also encourage infected individuals to remain at home longer or seek medical attention later, unknowingly spreading the virus to family members and the wider community.

According to WHO, prolonged delays before isolation increase opportunities for transmission.

Community deaths remain another major concern. An analysis of the first 400 Ebola fatalities found that roughly 70% occurred outside designated treatment centres, highlighting continued challenges in identifying patients early enough to provide care and prevent further spread.

Health authorities expand surveillance

To improve detection, Congolese authorities have begun training approximately 21,000 community health workers to conduct door-to-door visits, identify suspected infections and encourage symptomatic individuals to seek medical treatment.

Officials hope stronger community surveillance will help uncover hidden chains of transmission and improve contact tracing, which remains the cornerstone of Ebola control efforts.

Hidden transmission is the outbreak’s biggest threat

The most alarming aspect of Congo’s latest Ebola outbreak is not simply the number of confirmed cases but the large proportion of infections occurring outside established surveillance networks. When 80% of new patients are unknown to contact tracers, it indicates the virus is spreading faster than health authorities can detect it.

Although the Bundibugyo strain may cause comparatively milder illness, that characteristic presents a paradox: fewer severely ill patients can reduce public perception of risk, delaying diagnosis and allowing infected individuals to remain in the community longer. Combined with high rates of deaths occurring outside treatment facilities, these trends point to persistent gaps in surveillance rather than failures of medical treatment.

The rapid expansion of community health worker programmes reflects recognition that traditional outbreak response measures alone may not be sufficient. Unless surveillance improves and hidden transmission chains are identified quickly, the outbreak is likely to remain substantially larger than official figures suggest, complicating efforts to bring it under control.

With information from Reuters.

Vernon Kay and close friend Paddy McGuinness appeared on Celebrity Gogglebox together on Friday night

A Celebrity Gogglebox star opened up about his health condition on Friday’s episode.

Vernon Kay revealed that he suffers from a foot condition that is a “massive issue” for him. The star opened up about his health condition during Friday’s (July 10) episode of the Channel 4 hit show as he returned to our TV screens alongside his close friend Paddy McGuinness.

Just moments before sharing their hilarious reactions to the week’s top TV shows and films, Vernon announced that he suffers from Morton’s neuroma, a nerve disorder that impacts the third and fourth toes.

According to the NHS, the condition involves a “thickening of tissue” surrounding a nerve in the foot. It typically causes a sharp, burning pain in the ball of the foot, often with tingling or numbness in the toes.

Some sufferers report feeling like they are constantly treading on a small pebble. Speaking to Paddy, he said: “I’ve got a massive issue with my left one [toe].”

The BBC Radio 2 presenter then revealed: “I’ve got Morton’s neuroma, I can’t feel my left toe. All the nerve endings on my toes – I can’t feel my toes.”

Paddy was in disbelief as he pointed to Vernon’s toe and asked: “What, that one?” Vernon lifted his leg and replied: “Yeah, squeeze as hard as you can.”

Paddy was keen to find out if Vernon really couldn’t feel pain in his feet as he squeezed Vernon’s toes as hard as he could.

Turning to his close pal Vernon, who didn’t flinch, Paddy asked: “You can’t feel that?” Vernon confirmed: “Nope. Nothing.”

While Morton’s neuroma can often be eased by resting or taking ibuprofen, some people may need to see their GP or a foot specialist. Vernon previously stumbled upon a foot specialist at a local service station by chance.

Speaking on his Radio 2 show, he revealed: “So yesterday I was at the services, I was charging the electric car, and I was struggling a little bit with the machine that actually does it, I was faffing around.

“There’s no instructions, it just assumes that you know how to do it, and I didn’t. I didn’t know how to pay, I didn’t know how to get it started.

“Anyway, we got there in the end and this gentleman who was parked in the bay next door to my car wound down his window and said, ‘Hi Vernon,’ I said, ‘How are you?’ We shook hands, he said, ‘You alright there? You struggling?’ I said, ‘A little bit, I think it’s working now’.

“When we said that it went [buzzing noise] and then it started to charge my car. We got chatting away, ‘Where you going? Blah blah blah.’ Said, ‘I’m going just down the road but I’ve run out of energy so I’m just topping up my car’. ‘Brilliant, what do you do for a living?’ ‘I’m a foot specialist’”.

Celebrity Gogglebox airs Friday nights from 9pm on Channel 4.

The number of deaths comes as healthcare workers threaten to walk off the job over a delay in payments.

At least 600 people in the Democratic Republic of the Congo (DRC) have died from Ebola, as the number of confirmed cases of the illness rose to 1,759, according to government data.

The total numbers, released on Wednesday, were confirmed as of Tuesday, while 51 new cases and 20 deaths were recorded in the previous 24 hours.

The total of those infected does not include two cases of illness reported in Kisangani, the capital of the Tshopo province and one of the DRC’s biggest cities, as the test results were being validated, the government’s report said. They will be included in the official case total once confirmed.

One of those two cases is linked to the village of Nia-Nia in the Ituri province, where the first illnesses were reported. But the second illness “does not appear to have a geographic link” beyond Kisangani, according to the government.

As the situation worsens, healthcare workers in the Ituri province, the hardest-hit of the country’s three eastern regions affected by the outbreak, are walking off their jobs to protest against delay in payments.

In an official notice to national and provincial authorities over the weekend, front-line workers in Ituri threatened to strike if they were not paid in 24 hours. By Tuesday, some had already stopped working, although no official strike has been declared, The Associated Press news agency reported.

Some of the health professionals and other front-line workers told AP they had not been paid wages or bonuses since the Ebola outbreak was declared on May 15. They also said they were working with limited gear and treated unfairly by authorities and response teams.

“Since the Ebola virus disease outbreak was declared, we’ve been demanding payment for our work,” Dr Biensi Kano, a member of the epidemiological surveillance committee in Ituri’s capital, Bunia, told AP.

The strike comes at the start of the enrolment for clinical trials for the treatment of the Bundibugyo virus, which is responsible for this outbreak. The Bundibugyo strain of Ebola is generally considered less deadly than some others, but there is no approved vaccine.

By the time the World Health Organization declared the outbreak a Public Health Emergency of International Concern in May, the virus had already been spreading undetected for weeks through the mining towns of Mongbwalu, Rwampara and Bunia, before reaching neighbouring provinces, Al Jazeera’s Catherine Wambua-Soi reported from the DRC earlier this month.

WASHINGTON — The Senate’s top two Republicans have spoken individually to Kentucky Sen. Mitch McConnell, according to aides, as the former GOP leader remains in the hospital more than three weeks after being admitted for undisclosed health issues.

Aides to McConnell have declined to release any information about his condition, fueling speculation about his prognosis and whether he will be healthy enough to be at the Capitol when the Senate returns to Washington next week after a two-week recess. McConnell, 84, is retiring at the end of his term next January.

A spokesperson for Senate Majority Leader John Thune (R-S.D.) said he had spoken with McConnell by phone on Monday and that the two had a “lengthy and substantive conversation that covered a variety of topics, including national security.” As leader, Thune is generally kept up to date on illnesses and absences in his conference as he has to navigate vote counts and his narrow 53-47 majority.

Wyoming Sen. John Barrasso, the No. 2 Senate Republican, had a 20-minute conversation with McConnell on Tuesday, according to a spokeswoman. The two discussed Senate races ahead of the midterm elections, the Supreme Court and other topics, the statement said.

“Senator McConnell was fully engaged and is eager to get back to the Senate,” said Barrasso spokeswoman Kate Noyes.

Another McConnell ally, Republican strategist Scott Jennings, posted on X that he had also talked to McConnell for 20 minutes on Tuesday, and that “he’s still recovering in the hospital.” Jennings said they spoke about politics, foreign policy “and even a little bit of Senate history.”

Few details released as McConnell remains in the hospital

McConnell was admitted to the hospital June 14, according to a statement from his office that only said he was “receiving excellent care.”

A statement a week later said he would not be voting that week. And a new statement Thursday said he ”appreciates the outpouring of support he’s receiving while he continues his recovery in the hospital.”

“The Senator continues to improve, and is working closely with his staff on Kentucky and Senate matters while the Senate is out of session,” the statement said.

A spokesman for McConnell released the same statement again Tuesday with no new updates.

McConnell has a history of health troubles

The senator’s unspecified health issues come after several hospitalizations in recent years.

While he was still Republican leader, McConnell was hospitalized with a concussion in March 2023 and missed several weeks of work after falling in a Washington hotel. He froze up twice during news conferences after he returned, staring vacantly ahead before colleagues and staff — including Barrasso, who is a doctor — came to his assistance.

A year later, he fell and sprained his wrist while walking out of a GOP luncheon.

McConnell had polio in his early childhood and he has long acknowledged some difficulty as an adult in walking and climbing stairs. He also tripped and fell in 2019 at his home in Kentucky and underwent surgery for a fractured shoulder.

The Kentucky senator was first elected to the Senate in 1984 and was the Republican leader from 2007 until last year, serving as both majority and minority leader during that period. He has remained active as a rank-and-file senator, showing up for work when the chamber is in session, often using a wheelchair to get around.

Jalonick writes for the Associated Press.

Lionel Richie appears to be on the mend from the unspecified health issue that prompted him to cancel a pair of concerts in June.

The 77-year-old Grammy-winning “Hello” and “All Night Long” singer on Sunday thanked fans for “every message, every kind word and for all your love” on Instagram, sharing photos from recent concerts. He also seemingly addressed his health, writing, “I’m doing well, and I’m grateful for all of you.”

In late June, Richie unexpectedly hit pause on his concert at the Grand Casino Arena in St. Paul, Minn., after taking a seat on stage multiple times while performing “Dancing on the Ceiling.” According to videos shared on social media, the singer told his audience that he felt “dizzy.” Later in the evening saxophonist Dino Soldo told concert attendees that Richie was “not feeling well” and would not continue the show.

TMZ reported at the time that the singer-songwriter was hospitalized after the health scare. Paramedics reportedly met the artist backstage and transported him to a nearby hospital out of precaution. Richie then postponed his following concerts at Chicago’s United Center and the Schottenstein Center in Columbus, Ohio. He returned to the stage June 30 for his show in Pittsburgh.

“Pittsburgh and Detroit were an absolute joy,” Richie said Sunday of his recent concerts. “The energy, the dancing, the faces in the crowd … we made real memories together.” The singer also performed in Toronto on Saturday and in Montreal on Sunday. He is next set to perform in Boston on Wednesday.

Live Nation unveiled Richie and Earth, Wind & Fire’s joint tour in January, revealing a 26-city lineup with concerts in Chicago, Orlando, Fla., San Francisco and Los Angeles. Richie and the group are scheduled to play Inglewood’s Intuit Dome on Aug. 9. The tour ends Aug. 14 with a show at the Moody Center in Austin, Texas.

London, United Kingdom – Should Andy Burnham enter Downing Street as early as July 17, if he is confirmed unopposed as Labour leader, one of his most consequential early decisions will have nothing to do with defence spending, immigration, or the economy.

It will concern a seven-year 330-million-pound ($440m) contract between NHS England and Palantir Technologies, a leading defence and intelligence software firm in the United States that received no contracts from Burnham’s Greater Manchester administration during his nine years as mayor.

The ramifications of such a decision could extend well beyond the NHS.

Media reports surfaced last week that Burnham is minded to hold that line with Palantir across all of the UK government when he arrives in Downing Street.

When approached by Al Jazeera, an Andy Burnham spokesperson said: “We’re not going to comment on individual government procurement contracts or companies and there are legal processes that must be followed.

“However, in general, Andy’s guiding principles on procurement are that we need to be getting value for money for the taxpayer and that we need to be safeguarding people’s data and British interests.”

For a company that has spent six years embedding itself across several public sector entities – the NHS, the Ministry of Defence, the Home Office, the Financial Conduct Authority – that posture is a real shift from the outgoing Labour administration led by Keir Starmer.

Starmer’s government actively courted US-based AI companies championed by the former UK ambassador to Washington, Peter Mandelson.

According to the Financial Times, which cited people briefed on the discussions, Burnham’s advisers, including former tech minister Josh Simons, are working with researchers Antonio Weiss and Martha Dacombe on a new AI strategy prioritising British companies and workers.

The story of how we got here runs through Manchester.

The Manchester precedent

Burnham served as Mayor of Greater Manchester from 2017 until June, when he returned to Westminster via the Makerfield by-election.

Under his leadership, the Greater Manchester Combined Authority issued no contracts to Palantir. Greater Manchester Police has separately confirmed it did not have a Palantir contract in the past five years.

The more instructive precedent, though, is in the NHS – an institution Burnham has no direct mayoral authority over, but shaped politically through Greater Manchester’s landmark health devolution settlement.

Rather than adopt the NHS England-mandated Federated Data Platform, built on Palantir’s Foundry software, Greater Manchester’s NHS leaders spent six years building their own analytics infrastructure instead. That became a proof of concept, which allies now cite nationally: effective NHS data management, they argue, does not require Palantir.

In May, Al Jazeera spoke to the Good Law Project about its concerns that Palantir was a “potential security risk”.

Some campaigners have interpreted recent political signalling from Burnham’s camp as supportive of their position, although a Good Law Project spokesperson said it has had no direct contact with him or his team.

The political context

In his first major speech since returning to Westminster as an MP, Burnham said he wanted social value to weigh more heavily in government procurement decisions. The reasoning, according to those close to him, is as much political as ethical.

Reports have described concern within his camp that “unfettered tech boosterism” risks alienating voters already uneasy about how much of the state now runs on American software.

Underneath that concern sits a more specific worry: that a company built to serve defence and intelligence clients does not necessarily share the values of an institution built to treat patients.

“A defence company has inherently different values than a healthcare organisation like the NHS,” said Duncan McCann, Technology and Data Lead at the Good Law Project, which has led legal action seeking greater transparency over the contract. “That’s where I think this concern was created.”

Palantir is not unique in this respect. Its origins in US defence and intelligence contracting are shared, to varying degrees, by most of the US AI firms now supplying British government departments – a lineage that, for critics like McCann, taints the whole category rather than one company alone.

What’s next?

The NHS contract is the most visible, but it is unlikely to be the only one making headlines this year.

A parallel battle is already under way in London, where Palantir has launched a High Court challenge after Mayor Sadiq Khan blocked a 50-million pound ($67m) Metropolitan Police contract, arguing the decision amounts to stifling free speech.

Khan’s office has since approved a smaller arrangement – a partial reversal that has done little to settle the underlying tension.

For campaigners who have spent years pushing for greater scrutiny of Palantir’s role in British public life, Burnham’s ascent could be the moment the tide finally turns. The NHS break clause falls in March 2027, but a decision needs to be made by December.

Burnham is expected in Downing Street later this month. He will soon decide whether Palantir has a future in Britain’s health service – and, by extension, in the rest of the UK’s public sector.

Al Jazeera reached out to Palantir for comment but had not received a response at the time of publishing.

After years of closure due to war, hospitals in the Sudanese capital are welcoming mothers again, despite lingering economic and logistical hurdles.

In the Sudanese city of Omdurman, the maternity hospital, known locally as Al-Dayat or ‘Midwives” in English, has resumed operations after a long closure caused by the war. Mothers are once again arriving at maternity wards, navigating difficult economic and logistical conditions to give birth safely.

Al-Toma Jabara, a mother from East Nile, gave birth to her daughter, Doaa, at the hospital two days ago. She told Al Jazeera that she was unable to conceive during the war years. Fighting between the Sudanese armed forces and the Rapid Support Forces (RSF) separated Jabara from her husband for two years.

She has lived under constant bombardment and clashes in her home, making a normal family life seem impossible. She described Doaa’s arrival as a “new beginning” for her family after years of fear and deprivation.

At Bahri Hospital, Fatima Abdel Rahman, a mother from Al Jazirah state, recounted her exhausting and expensive journey to the capital Khartoum. Her family had to spend a large portion of their income on transportation and temporary accommodation near the facility to monitor her condition post-delivery.

Abdel Rahman noted that medication shortages forced her to buy basic drugs from outside pharmacies at inflated prices, adding to her financial burden. However, she stressed that the functioning maternity ward provided her with a vital sense of safety, sparing her the fear of dying due to lack of medical care – a constant dread she lived with during the war.

Rebuilding the shattered health sector

During the conflict, the closure of specialised maternity hospitals forced many women to undergo unsafe home births or travel long distances, drastically increasing risks for both mothers and infants. An anonymous official from the Khartoum State Ministry of Health confirmed that maternal and infant complications and mortality rates surged during the war due to closures.

The official told Al Jazeera that complication rates are now gradually decreasing as services resume. The health ministry has repaired and reopened 15 maternity wards across the capital, including Al-Dayat and the Saudi Hospital. The capital’s hospitals are now recording a significant increase in births, reaching about 7,000 new deliveries per month.

Emad Abdullah, director of the Omdurman Maternity Hospital, noted that it initially received only one or two cases a day upon reopening. Today, that number has climbed to approximately 60 births per day, as services expand to meet growing demand.

The hospital has several vital departments, including a caesarean section, an intensive care unit and a neonatal department equipped with about 140 incubators, making it the largest in Sudan.

Rising costs and logistical nightmares

Maternity costs vary significantly depending on the facility. At government hospitals, a natural birth typically costs about 130,000 Sudanese pounds ($216), while C-sections cost around 400,000 pounds ($666). In private hospitals, the cost of a natural birth shoots up to approximately 500,000 pounds ($813) and C-sections range between 600-800,000 pounds ($999-1,322), depending on the service level.

Despite the reopening of wards in Khartoum, Omdurman and Bahri, large challenges remain with patients from distant regions such as Al Jazirah and Kordofan facing exhausting journeys and exorbitant transport costs.

In the hospitals, there is a shortage of basic medicines and emergency rooms often operate beyond their capacity. In addition, the wartime exodus of doctors and nurses has left a critical gap in qualified staff, while essential medical equipment needs regular maintenance to keep up with demand.

Amira Othman Abdel Majeed, an infection control officer at Bahri Hospital, described the war as the most challenging period for the health sector, marred by severe shortages of supplies, electricity and water. That has imposed psychological pressure on medical staff who feared losing mothers and children during treatment.

However, she said the “liberation of Khartoum” and the resumption of maternity services have dramatically changed the landscape. Staff emerged stronger and more resilient, with the ongoing medical care serving as a prime symbol of the capital’s recovering health sector.

21 cases of the viral disease have been confirmed in the UK

People that are eligible for the Mpox vaccine in Northern Ireland are being urged to step forward before the summer holidays as 21 cases of the viral disease, formerly known as monkeypox, have been confirmed by the Public Health Agency in the last three weeks.

This is a significant rise as, according to the BBC, only nine cases of Mpox had been reported in Northern Ireland since 2023. The Public Health Agency is asking people to learn the symptoms, be vigilant about the signs and get vaccinated but not everyone will be eligible for the vaccine.

The main symptoms the Public Health Agency is urging people to keep an eye out for include rashes with blisters, aches, fever and swollen glands that can last for up to three weeks.

Doctors find a way of making us young again, eating like a Greek slashes heart disease risk, and cure for deadly cancer found at the bottom of the sea – all this and more in our science newsletter

According to the NHS, the first symptoms of mpox include:

• a high temperature, or feeling hot, cold or shivery
• a headache
• muscle aches
• backache
• swollen glands
• shivering (chills)
• exhaustion
• joint pain

The telltale sign of mpox is a distinctive rash which usually appears one to five days after the other symptoms. It can appear on any part of the body including the hands, soles of the feet, mouth or genitals.

The rash is sometimes mistaken for chickenpox. It starts with small raised spots that turn into ulcers or small blisters filled with fluid, the blister eventually forms a scab that later falls off.

Dr Rachel Coyle, Consultant in Health Protection at the PHA, said: “We want to remind those who are eligible to get vaccinated. Vaccination is available for those eligible in Northern Ireland through sexual health clinics, also known as genitourinary medicine or GUM clinics.

“While anyone can catch mpox, the majority of mpox cases in the UK are in gay, bisexual and other men who have sex with men (GBMSM).

“Therefore, those eligible for the vaccine include gay, bisexual or other men who have sex with men who have multiple sexual partners, and those who participate in group sex or attend sex on premises venues. Staff who work in these premises are also eligible.

“If you think you may be eligible and have not yet received your first dose or completed the course of two vaccines, contact your local GUM clinic and enquire about getting the vaccine.”

Mpox is passed from one person to another through any close physical contact with mpox rash, blisters or scabs. This can include during sexual contact or other skin-to-skin contact.

It can also be passed through contaminated surfaces like bedding or towels and through the coughs and sneezes of a person that has mpox if they are close enough to you.

Mpox is usually mild and can get better in a few weeks even without treatment. However, while you have symptoms you can pass on the virus to other people and some may be more vulnerable to more severe symptoms. This includes older people, young children and anyone taking medication that affects their immune system.

On June 25, the United States Supreme Court decision allowed President Donald Trump and his administration to end Temporary Protected Status (TPS) for Haitians, paving the way for their legal immigration status to be removed.

Trump has pushed to end TPS for several groups, as part of his efforts to restrict immigration into the US.

But lawmakers from both political parties have argued that stripping Haitians of their TPS status could create a caregiving crisis, given their presence in key industries like healthcare.

“Of the 350,000+ lawful Haitian TPS holders, roughly 1/3 work in our healthcare system. Immediately shutting off TPS will create a crisis in our hospitals, nursing homes, and in the [intellectual disabilities] community,” Republican Representative Mike Lawler wrote on the social media platform X.

Democratic Representative Ayanna Pressley echoed that sentiment in a statement.

“Seniors will lose their caregivers when we already have a caregiving crisis, and seniors will lose their ability to age in community with much-needed assistance,” she wrote.

The Temporary Protected Status programme allows nationals from countries experiencing crises, such as natural disasters or armed conflict, to live in the United States for up to 18 months. The federal government had previously renewed the designations, making them effectively permanent, before President Trump took office for a second term in 2025.

Lawler’s estimates about how many Haitians with TPS work in the US healthcare system are within the range of what the data show.

The Trump administration decision — and Supreme Court ruling — affect about 330,000 Haitians whose TPS-related work authorisations expire on July 10. They face deportation unless they qualify for another status. The ruling also applies to Syrians and Venezuelans.

About 158,000 Haitians in Florida have TPS, the majority of whom are in South Florida. The Sunshine State has the largest population of TPS recipients in the US: nearly 404,000 people. More than half are from Venezuela and about one-third are from Haiti, according to the nonpartisan Congressional Research Service.

With an ageing population and an existing caregiver shortage, healthcare experts say the end of TPS for Haitians will have a significant effect on the US healthcare industry.

Of the 330,000 Haitian TPS holders, about 13,000 work daily as nursing assistants, caring for 65,000 patients, The Boston Globe found. Another 8,000 Haitian caregivers serve 12,000 children and ageing people, according to Americans for Immigrant Justice, a Miami-based nonprofit law firm that provides free representation to low-income immigrants.

Experts said the TPS healthcare workforce exodus will be felt most acutely in New York, Massachusetts and Florida.

With its high populations of older people and immigrants, Florida is expected to be particularly hard-hit.

David Grabowski, a Harvard Medical School healthcare policy professor, said the decision will “have a major impact on nursing homes, assisted living facilities and home care agencies”.

What will happen if most Haitians with TPS are deported?

Healthcare researchers say deporting Haitian recipients of Temporary Protected Status will add pressure on a strained system.

Immigrants who have TPS are more likely to work in healthcare, with one 2025 study finding that recipients represent 15 percent of all noncitizen healthcare workers. (TPS recipients make up about 2.1 percent of the total immigrant population.)

Immigrants make up a large share of direct care workers — people who are home health aides, personal care aides and nursing assistants.

There is already a national shortage of home health aides, personal care aides, nursing assistants and other long-term care and eldercare workers, but the US will need even more in the future. The US 65-and-up population is expected to rise from 58 million to 82 million by 2050 — a 42 percent increase.

Nearly half of US nursing homes report limiting admissions due to staffing shortages, and 19 percent recently met the minimum staffing levels set by the Centers for Medicare & Medicaid Services. In 2023, shortages of nurses and other employees caused about two-thirds of US hospitals to operate below capacity.

“People who run nursing homes, chronic care hospitals and home care agencies – they are all saying this is a crisis,” said Dr Steffie Woolhandler, a distinguished professor of public health at City University of New York’s Hunter College. “There has long been a shortage of folks who are willing to do direct care work as nursing aides, and there’s still a shortage now, so, of course, if the US deports them all, it’s just going to make it worse.”

Drishti Pillai, the director of immigrant health policy at the research nonprofit KFF, said, “The long-term care industry is already facing shortages prior to these immigration policy changes, so I think it’s accurate to say that this is going to further exacerbate the situation.”

Why do so many Haitians with TPS work in caregiving?

Healthcare experts pointed to several reasons for TPS holders’ high numbers in direct care, including job availability, an easier certification process compared with other healthcare jobs, and prior experience caring for family members.

“We do not have sufficient native-born workers to fill all the caregiving jobs,” Grabowski, the healthcare policy professor, said.

These positions also typically have lower barriers to entry for licensure, or no English language requirements, experts said. Refugee settlement organisations often recommend the work to immigrants for those reasons.

The positions are “extremely difficult to fill” because they’re physically and emotionally demanding, with low pay and with little or no employee benefits, said Priya Chidambaram, senior policy manager with KFF’s programme on Medicaid and the uninsured.

Some Haitians also have experience caring for sick family members in their homes, given the lack of nursing home infrastructure in their home country.

In the end, experts said there will be many more people who need this care than people who will be able to provide it.

“This was true before the ruling,” Chidambaram said. “Now, the impact will only be worse.”

Research published in the British Medical Journal (BMJ) has found that a United Kingdom-United States pharmaceutical deal could cause 229,000 excess deaths as a result of the diversion of billions of pounds away from Britain’s National Health Service (NHS).

In December, the UK and US signed a pharmaceutical trade deal, under which the US government agreed not to impose tariffs on UK pharmaceutical and medical technology exports for the next three years.

In return, the British government committed to increasing NHS spending on new US medicines from 0.3 percent in 2026 to at least 0.6 percent of its gross domestic product (GDP) by 2036. This means that medicine spending overall should increase from 10 percent to 12 percent of the NHS budget.

UK politicians defended the deal with Science Minister Patrick Vallance saying in April that the arrangement gives patients across the NHS access to “life-changing new medicines that they previously would have been denied”.

“Not only this, but as the first country in the world to benefit from a zero percent tariff on pharmaceuticals to the US, Britain’s life sciences sector will be further boosted,” Vallance argued.

But the research published in the BMJ found that the commitment to spend so much more on new branded medicines over the next decade without any increase in NHS funding will “create substantial opportunity costs elsewhere, having a direct effect on population health”.

Samuel Cross, a professor in the department of pharmacology and therapeutics at the University of Liverpool, who coauthored the report, said the agreement “benefits pharmaceutical companies and comes at a cost of NHS patients”.

“There’s really no way to sugar-coat that. The numbers speak for themselves,” Cross told Al Jazeera.

Here’s what we know about the report:

What is in the US-UK deal?

The agreement signed on December 1 was hailed as a landmark deal between British Prime Minister Keir Starmer and US President Donald Trump on pharmaceutical trade and pricing.

The US agreed not to impose tariffs on UK pharmaceutical and medical exports for the following three years – until January 19, 2029.

According to a policy paper published by the British government, the preliminary understanding of the agreement recognised that the US and UK shared a “mutual interest in developing a global medicines system that supports development and commercialisation of new innovations”.

 What did the research find?

In February, Vallance disclosed that funding for the increased spending on medicines would come from the Department of Health and Social Care, which funds the NHS in England, rather than the Treasury.

The study in the BMJ forecast that if spending targets are met and the economy grows as forecast by the Office for Budget Responsibility, the NHS would need to spend an extra 1.3 billion pounds ($1.73bn) a year by 2028 – about 25 million pounds ($33.4m) a week. By 2036, this would rise to an extra 8.8 billion pounds ($11.74bn) a year – about 170 million pounds ($227m) a week). Over the course of the agreement, that would add up to about 44.7 billion pounds ($59.7bn) by the end of 2036.

“Costs are even higher if the impact on publicly funded adult social care is also considered – modelling of English local authority data indicates that every £1bn [$1.33bn] the NHS must find to fund this deal will increase the costs of adult social care by £118m [$157.5m] because of increases in morbidity and mortality,” the report found.

Ultimately, the study predicted, excess deaths are likely as a result.

“Even if we restrict attention to the direct effect of reductions in available NHS expenditure, by 2036 this deal is likely to result in roughly 229,000 excess deaths – more than during the COVID-19 pandemic between March 2020 and June 2022 (137,000). If the indirect effect on adult social care is also included, the increase in excess deaths is even greater (291,000),” the report stated.

The report added that the findings are “unsurprising” given the existing pressures on the NHS and the “large burden of unmet need in highly cost-effective areas of care”.

It also referred to shortfalls in NHS funding and pharmaceutical pricing as “opportunity costs”.

Cross said that in health economics, opportunity costs are the “key to all of this”.

“In the NHS, we have a finite budget – we’re not made of money – and if you take money away to pay for, in this case, more medicines. then that comes at an opportunity cost of the places that the money has been diverted away from,” he explained.

Which health sectors will be worst affected?

The research predicted that the greatest number of deaths would occur in cardiovascular, respiratory, gastrointestinal and cancer patients.

It added that there will also be broader harm caused to quality of life for patients in those sectors as well as “neurological, endocrine, musculoskeletal, and mental health problems”.

“Despite this evidence and reassurances that ‘frontline services’ will be protected, the NHS will need to fund this deal from allocations made six months before the deal was agreed. The evidence suggests that if additional public expenditure was available, it could be more effectively deployed within the NHS itself,” it added.

The report also called the government’s claims that the US-UK agreement would encourage pharmaceutical innovation in the country “uncertain”.

“Pharmaceutical research and development operate within a global market, of which the UK represents a relatively small share. As such, there is limited evidence that UK domestic pricing materially influences global investment decisions,” the report stated.

“Even so, evidence suggests in most cases the UK is already paying more than 100 percent of the long-term value of new medicines; incentivising production of new medicines under this deal will do long-term harm to the public health objective of the NHS,” it added.

Cross added that because money has in effect been diverted away from the NHS, there is no way for the government to offset the impact on the service.

“If the funds are used to pay for new medicines, we will lose positive health outcomes elsewhere, and that is as simple as that,” he said.

He called for the government to release an impact assessment to trigger a public discussion about how good the US-UK deal really is for Britain.