Health

Russian authorities quarantine hospital, monitor 200 contacts after suspected pneumonic plague death in Siberia.

President Donald Trump says the United States is ready to help Russia with a suspected pneumonic plague outbreak.

“We are looking at it very strongly. We just heard about it,” Trump said, adding that he had not spoken to Russian President Vladimir Putin about it but is prepared to offer US support.

“It’s a disease we used to be able to control,” Trump said. “Even with great advancement, the germs have really become relatively stronger than they were, and things that used to work on pneumonia don’t work anymore … anyone that has that kind of problem, we will help.”

The World Health Organization (WHO) said based on unofficial information it has received, the “public health risk to the general population appears to be low”.

Earlier on Monday, US Secretary of State Marco Rubio downplayed the danger as well. “I don’t think it’s cause for alarm, but it is cause for focus and a cause to just keep an eye on it,” Rubio said.

Russian authorities have quarantined a hospital and are tracing the contacts of an employee at a plague research institute in the remote Siberian region of Irkutsk who died of a suspected pneumonic plague infection. Local media identified the employee as 28-year-old laboratory technician Darya Shipilova.

Official details about the incident have been limited, and Russian media reports say authorities in Irkutsk have placed nearly 200 people under medical observation.

On Sunday, Russia’s official TASS news agency reported that the country’s consumer protection agency, Rospotrebnadzor, said an employee at the Irkutsk Anti-Plague Research Institute of Siberia and the Far East was diagnosed with “pneumonia of unknown aetiology” or origin. The agency also said it had expanded sample testing from the patient and found no microorganisms associated with her work.

On Saturday, the governor of neighbouring Buryatia region said in a post on his Telegram channel that a woman in Irkutsk had “died, maybe of the plague”.

In a statement to Al Jazeera, a US State Department official said: “We encourage Russian authorities to share accurate information quickly and openly.”

Pneumonic plague is caused by the bacterium Yersinia pestis, usually found in small mammals and their fleas. According to the WHO, the plague is highly infectious and can be fatal if not treated early.

The plague ⁠comes in three forms affecting different parts of the body. Pneumonic plague, an infection of the lungs, triggers the patient to cough out infectious airborne droplets.

If identified quickly, antibiotics can treat the disease. Left untreated, it can be fatal in one to six days.

Rylan Clark revealed that his mother Linda has suffered another health issue, following a turbulent few years which have also seen her break her arm and leg while on holiday

Rylan Clark‘s mum Linda has shared a health update after he voiced concerns about her wellbeing. During his BBC Radio 2 show last weekend, he told listeners that his mum would be joining him for their weekly on-air chat following a break, but revealed that she had recently injured herself.

At the start of his show, he said: “Mummy Linda is going to be back on the phone a bit later on, hopefully she’s alright, she scraped her leg the other day, so that’s been fun. I’m just like okay, yep, here we go, another issue but I’m sure she’ll be fine.”

Later in the programme, Linda confirmed that she was fine before telling him: “You ain’t got to tell everyone thank you.”

Rylan went on to call his mum “a nightmare walking”, following her many other health ordeals.

The 74-year-old insisted that she would no longer do things around the house after her previous accidents.

“You said that before when you broke your arm and leg just falling over,” the 37-year-old replied. She responded: “I get bored and I need to do things.”

Back in January, Linda suffered a fractured shoulder and was left bruised after falling over on ice while taking her bins out.

Last year, she also took a tumble down a retailer’s escalators, leaving her in need of medical attention.

During a holiday in Spain in 2023, she broke her arm and leg, leaving her needing to be escorted back to the UK on a private jet equipped with medical equipment.

Rylan took time off work during this period to support his mother through her surgery and recovery.

Two months later, he shared a photo of her at his Essex home for the first time since the accident, as they celebrated his birthday together.

During the latest episode of his show, Rylan also jokingly urged producers to “sack” him after poking fun at the BBC’s strict advertising rules.

He went on to insist he “didn’t care” about the BBC’s rules while rapper Professor Green, whose real name is Stephen Paul Manderson, took part in his Rylexa feature, inspired by Amazon’s voice assistant Alexa.

Introducing the game, Rylan said: “I’ve been creating a new artificial intelligence machine called Rylexa, I’m looking for people to buy shares in it. If you want, we can talk after the show.”

Aware of the broadcaster’s impartiality guidelines, which are in place because UK viewers fund the BBC through the TV licence fee, Professor Green responded: “Sure. There are other AI platforms that you can invest in, isn’t that what you’ve got to say on the BBC?”

Rylan cheekily exclaimed: “But they’re not Rylexa! Who cares? Sack me!”.

A Russian agency links the lab worker’s death to ‘pneumonia of unknown’ origin.

An employee of a Russian anti-plague institute in the remote Siberian region of Irkutsk has reportedly died of a suspected pneumonic plague infection, according to a United States official.

“We are aware of reports of a fatal case of suspected pneumonic plague in Irkutsk Oblast, Russia. We are monitoring the situation closely with the CDC [Centers for Disease Control and Prevention] and our other interagency partners,” a State Department official told Al Jazeera

“Many details have not been confirmed. We encourage Russian authorities to share accurate information quickly and openly,” the official said.

Alexei Tsydenov, the governor of the Buryatia region, said in a post on his Telegram channel on October 3 that a woman in the neighbouring Irkutsk region had “died, maybe of the plague”.

Russia’s official TASS news agency reported on Sunday that the country’s consumer watchdog, Rospotrebnadzor, said in a statement that an employee of the Irkutsk Anti-Plague Research Institute of Siberia and the Far East had been diagnosed with “pneumonia of unknown aetiology”.

The watchdog also said it expanded testing of samples from the patient and found no microorganisms associated with her professional activities.

Pneumonic plague is caused by the bacterium Yersinia pestis, usually found in small mammals and their fleas. According to the World Health Organization (WHO), the plague is highly infectious and can be fatal if not treated early.

Local media named the woman who died as 28-year-old laboratory technician Darya Shipilova.

Media reports say that authorities in Siberia’s Irkutsk region have placed nearly 200 people under medical observation.

Organizations publicly opposing Proposition 44 include the California Medical Assn., the California Hospital Assn., which represents hospitals and health systems, the Assn. of California Healthcare Districts, which represents the state’s 76 public healthcare districts, the California Teachers Assn., the state’s Planned Parenthood affiliate, the state Democratic Party, the state Chamber of Commerce and Reform California, a conservative advocacy group.

Opponents say the proposition’s vague wording could result in vital services being excluded from the list of program expenses permitted in the 90% of revenues, prompting clinics to cut programs to avoid financial penalties. A study commissioned by the California Primary Care Assn. found that clinics could face up to $1.7 billion in collective penalties in the first year of the measure’s implementation alone, an additional expense that could leave up to 88% of clinics operating in the red.

Opponents also say the measure adds an expensive layer of bureaucracy to the state’s budget and grants elected officials — in this case, the attorney general — authority to determine which services clinics can offer.

Oct. 3, 2026 3:03 AM PT

Menopause has been having a moment lately, and Washington is taking notice. On Sept. 16, the Senate held its first hearing on the dismal state of federally funded menopause research and vast gaps in treatment and care. Within 24 hours, the Department of Health and Human Services also convened pharmaceutical manufacturers and physicians to troubleshoot the alarming lack of availability of estradiol patches, an essential menopause hormone treatment, and the Food and Drug Administration held a full day of expert panels on female-dosed testosterone, which is currently only FDA-approved for men.

One week later, Health and Human Services joined the American Urological Assn. for a discussion about a silent killer of postmenopausal women: urosepsis from recurrent urinary tract infections. There is a simple solution — localized vaginal estrogen — and yet because of outdated guidelines and lack of clinician training, the medication is too often ignored or denied. Nor is the prescription routinely covered by Medicare, despite its well-established health and longevity benefits for women over age 65.

These are among the attempts to now, finally, address decades of policy failures — a refreshing change, quite frankly, given neither political party has ever prioritized menopause. That 2026 marks the year when menopause has entered the policy arena comes as little surprise to me. I’ve been beating this drum for years. Every aspect of daily life that menopause touches — the soaring cost of medical care, inadequate access to health insurance, extreme underinvestment in scientific research focused on women’s health, even the myriad ways midlife women are stretched to the limit caring for kids and aging parents — is smack in the middle of the political zeitgeist. These are the kitchen table issues on the minds of voters this election.

Menopause moment, meet the midterms.

Another issue rightly revealed by menopause is the chasm of public trust in government. As one of the four expert witnesses who testified at the Senate, I was heartened that it was a true bipartisan endeavor. But that’s a rarity these days in Congress, an institution rife with dysfunction. Our federal health agencies have become so shamelessly politicized they are on a collision course with science — from HHS’ overt moves to undermine childhood vaccines, to the decimation of leadership at the Centers for Disease Control and Prevention, which is struggling to respond to the crisis of measles outbreaks across the country.

My goal as a policy advocate is to help turn the tide on this country’s long record of neglect when it comes to menopause. Like many other women’s and reproductive health advocates, after the 2024 election l turned my attention to state legislatures — not just as a consolation prize but as a way to test what range of reforms were feasible and to get as many good laws as possible passed. It was the right move. Over the last two years, more than 60 bills have been introduced in 28 states — to do things like require private insurance and Medicaid to cover menopause care and treatment, improve clinician training and public education, and bolster antidiscrimination protection in the workplace. Ten of those states now have 21 laws on the books.

California is one and can claim real leadership. Among the bills passed by the Legislature, Assembly Bill 2270 from 2023-24 incentivizes continuing medical education on menopause for clinicians, the majority of whom receive little to zero training while in medical school and residency. The California Department of Corrections is now collaborating with medical experts to help bring menopause resources to incarcerated women in state prisons.

Newsom also just vetoed AB 1940, which would have codified menopause as a protected category in the state’s workplace antidiscrimination laws.

The Legislature has been especially deft at easing access to FDA-approved hormonal treatments, including testosterone, often used off-label by menopausal women: AB 82 ends the requirement to report prescriptions to the state’s tracking database; AB 1778 proactively declassifies testosterone as a controlled substance under state law, should there be action in Washington to do the same under federal law.

Although Newsom twice vetoed bills to mandate insurance coverage for menopause treatment — and deserved all the flak he received — the 2026-27 state budget includes a minor course correct: a $3.4-million “trailer bill” to invest in public education and make menopause treatments more affordable; Medi-Cal patients are not fully covered by the addendum, though, making it a toothless reform for those who need support the most.

Why should California’s menopause agenda, or that of the other 27 states that have introduced reforms, matter to the rest of the country? They offer useful models of what to do — or in the case of Medicaid exclusion, what not to do — in crafting meaningful policies. Perhaps more important, they offer a rationale that can help persuade the public; those who might balk at a congressional bill or federal policy, in part because of skepticism of the federal government or the current administration, can listen to and learn from other stakeholders, including governors and state lawmakers and activists.

Take for example the FDA decision in November 2025 to remove the long-critiqued “black box” warning on estrogen products for menopause. This was the culmination of a decade-long campaign by physicians, researchers and scientists — who had been waging the fight for accurate labeling well before the acronym MAHA ever existed and regardless of which party held power. Yet the very image of Health Secretary Robert F. Kennedy Jr. using his moment at the podium to credit the Trump administration’s deep commitment to women’s health posed a serious credibility challenge. Aligned and contemporaneous state reforms offered much-needed reassurance and clarity to many.

Trust in government is understandably at a low point, but this happens to be when menopause finally has caught the attention of policymakers at all levels of power. Some are taking long-overdue steps for women’s health, however implausibly. Let’s take the wins.

Jennifer Weiss-Wolf is the author of “When in Menopause: A User’s Manual & Citizen’s Guide.” She is executive director of NYU Law’s Birnbaum Women’s Leadership Center.

BILLY Joel has shared a new health update just weeks after undergoing surgery for a rare brain condition.

The singer, 77, who was diagnosed with normal pressure hydrocephalus (NPH) in May 2025, underwent a procedure to help improve his symptoms last month.

According to the NHS website, a hydrocephalus is a “build-up of fluid in the brain. The excess fluid puts pressure on the brain, which can damage it”, and NPH “usually develops in older people”.

He had a shunt implanted in his brain to drain excess fluid.

Earlier this week he shared how he has been feeling while on his SiriusXM show The Billy Joel Channel.

Billy said: “I know people are worried about me because they read that I have a brain disorder, which sounds a lot worse than it actually is.”

billy’s tribute

Fresh blow for Billy Joel, 77, as he suffers heartbreaking loss

BRAVE BILLY

Billy Joel, 77, reveals he’s undergone brain surgery as he shares health update

He added: “I’m okay” but went on to confess that his “balance isn’t that good”.

The performer also explained that he’s “lost a little bit of my hearing” – which he actually thinks is due to the performing on stage for years.

The star also confessed that he “appreciates” everyone but doesn’t want people to “worry” about him.

Talking about the surgery, Billy said last month: “I didn’t want to do that, but then I read up on it and I realised it can help improve your balance and can help your memory.”

He added: “You know, I don’t want to lose my marbles.

“It’s hard to tell what’s age and what’s a condition, so I agreed to do the shunt and I had a surgery, and they implanted a shunt in my brain and it actually improved things.”

After having the surgery, Billy explained: “My memory got better, my balance got a little better, my ability to function was better.” 

After being diagnosed with NPH, Billy cancelled all tour dates due to the condition.

Billy is best known for songs such as Piano Man, Uptown Girl and We Didn’t Start the Fire.

WASHINGTON — Dr. Nicole Saphier, President Trump ‘s third nominee for surgeon general, moved a step closer to confirmation after a Senate committee voted to advance her nomination on Wednesday.

Saphier, a radiologist and former Fox News Channel contributor, was advanced out of the Senate Committee on Health, Education, Labor and Pensions on a 12 to 11 vote to serve as surgeon general after she was grilled at her confirmation hearing earlier this month about her stance on childhood vaccines.

She expressed support for vaccines and told lawmakers she didn’t believe they cause autism. The Trump administration has sought to revisit claims about a link between vaccines and autism, although widespread scientific consensus and decades of studies have firmly concluded there is none.

Timothy Westlake, who was nominated to serve as assistant secretary for mental health and substance use at the Department of Health and Human Services, was also advanced out of committee on the same en bloc vote.

It was not immediately clear when the officials would face a full Senate vote for their confirmation, but they are expected to be approved.

During her confirmation hearing, Republican Sen. Bill Cassidy pressed Saphier to declare whether she believed there was a link between vaccines and autism. Saphier responded that she does “not believe childhood vaccines cause autism,” adding that “the MMR vaccine is our greatest tool for combating measles,” in response to a question by Cassidy over whether parents should give children that shot.

MMR stands for measles, mumps and rubella, and the president recently called for the shots to be spaced out, against the guidance of medical groups.

The surgeon general position carries limited policymaking power but serves as a loud megaphone as the nation’s top communicator to Americans on public health issues.

Cassidy, who led the inquiry into Saphier’s views on vaccines, ultimately voted in support of her nomination.

Sen. Bernie Sanders, the ranking member of the Senate HELP committee, said ahead of Saphier’s vote that he would vote down her nomination because in part Saphier “has questioned the need for the hepatitis B vaccine at birth, when the data science has been clear.”

“We need a surgeon general who will tell the truth about vaccines, not someone who misleads the public,” Sanders said. At her confirmation hearing, Saphier said the universal birth dose of hepatitis B was safe and effective.

Chris Klomp, who was nominated to serve as deputy secretary of the Department of Health and Human Services, was advanced out of the Senate Finance Committee last week on a 15 to 12 vote. He was questioned during the same hearing as Saphier about his duties associated with the role as the current chief counselor of the Department of Health and Human Services under the leadership of Health Secretary Robert F. Kennedy Jr. as well as about his vaccine stance.

In protesting Klomp’s nomination at the Senate Finance Committee, Sen. Ron Wyden said Klomp “tried to create the impression that he will be the adult in the room on vaccines. Yet, as we sit here today, the vaccine chaos that we’ve come to expect from Robert Kennedy’s HHS continues.”

Hussein writes for the Associated Press.

WASHINGTON — About half of rural voters identify with Make America Healthy Again, a sprawling political movement championed by the Trump administration, but most said President Trump’s healthcare policies have not benefited their communities, according to a new poll from The Associated Press in partnership with KFF.

About 8 in 10 rural voters — an important voting bloc for Trump and fellow Republicans — said the Trump administration’s policies have had a negative effect or no impact on the health of people where they live. Most MAHA supporters, 68%, also feel this way, according to the national survey of more than 2,000 rural registered voters.

The findings signal an apparent disconnect between the Trump administration’s MAHA-branded policy priorities and rural America’s perception of their reach and effectiveness.

Iowa pastor Mike Jager, 58, is a registered Republican and considers himself part of the MAHA movement. The Trump administration’s health policies have had “minimal” impact on the health of his community, Jager said, but he added that Trump’s health secretary, Robert F. Kennedy Jr., is moving the needle “in the right direction.”

“It’s a beginning,” Jager said. “It’s a big ship to try and turn around and course-correct.”

Kennedy has used the MAHA label to support various agendas, including abandoning long-standing vaccine guidance, researching ultraprocessed foods and investing in regenerative agriculture.

Jager lives in Sumner, Iowa, “less than a quarter mile from where the corn ends and the city begins.” He’s seen family members and neighbors develop diseases that he believes resulted in part from exposure to agricultural chemicals and consumption of unhealthy, processed foods.

In the June Republican primary for governor, Jager voted for Zach Lahn, a businessman and farmer who ran on a MAHA platform and beat out Trump-backed U.S. Rep. Randy Feenstra. He plans to vote for him again in November.

Many rural voters are prioritizing health issues

About two-thirds of rural voters who support MAHA said it’s “extremely” or “very” important to them to vote for a candidate who does, too, while only 4 in 10 rural voters overall said the same.

Trump sought to seize on MAHA support during his campaign for another term two years ago. Now, amid tight midterm races, Kennedy has campaigned to galvanize the movement’s support. In May, he attended a MAHA bill signing with Iowa Republican Gov. Kim Reynolds, and in August, he went fishing with Lahn, posting about it on social media.

Yet the survey indicates voters are noticing “this weird split in the Trump administration” between what Kennedy messages and what Trump says and does, said David Peterson, a political science professor at Iowa State University.

In Iowa, concerns about what’s causing rising cancer rates are “a big deal,” he said. For many people who identify with MAHA, being healthy includes taking on corporate agriculture and pharmaceutical companies that they think cause cancer, he added.

In the poll, views on healthcare access and costs largely diverged along party lines. Most Democratic and independent voters said the Trump administration’s healthcare policies have had a negative impact on their healthcare costs and the health and well-being of people in their communities. Republicans were likelier to say there hasn’t been an impact.

Talking on the phone from her 200-acre farm in Carroll County, Iowa, 71-year-old Donna Klocke said that her husband had died from cancer and that she has neighbors who also have cancer.

“It’s just very prevalent,” Klocke said. “We’re in a farming community. We use chemicals and pesticides and all kinds of things that aren’t necessarily good for us.”

Klocke, a Democrat, said the MAHA movement is a good idea because she cares about being healthy, but she does not consider herself part of it and will not be voting for a candidate who represents the movement.

Kennedy, who was an anti-vaccine activist before entering politics and has sent mixed messages to Americans about getting the measles vaccine, scares her.

“Measles are coming back and polio,” Klocke said. “It’s the measles that really gets me. It’s like, do you not understand how dangerous it is?”

Survey reflects angst over healthcare

Nearly half of rural voters said their communities don’t have enough doctors or other healthcare providers, and even more said there aren’t enough mental health workers specifically. The share of rural voters who said their community does not have enough hospitals increased to 35% from 21% in a similar question asked in a KFF-Washington Post survey in 2017.

And as with the general population, healthcare, gas and grocery costs are top pain points. At least 6 in 10 rural voters said they were worried about healthcare costs.

The level of worry varied based on coverage, with rural voters enrolled in employer plans or Medicare less likely to be worried. The survey found that 80% of working-age rural voters on Medicaid were very or somewhat worried about healthcare costs. Last year, Republicans passed a tax and spending bill that cut over $900 billion in projected Medicaid spending over a decade and mandated new eligibility requirements.

In the tiny community of Lipan, Texas, west of Dallas, Kim Solis and her husband have a handyman-and-home-remodel business and get their insurance on the marketplace. Since Trump returned to office, their premium payment jumped from zero to $166 a month. Their copays went up, and their deductibles each increased by $2,000.

Solis, 62, said she worries what will happen if they get a big medical bill.

“Certainly, we’d be in a world of hurt trying to take money out of savings or getting it out of our 401(k) just to be able to do something about it,” she said.

Most MAHA voters are also MAGA — but not all

Like the general population, rural voters said they trust their own doctors and healthcare providers for health information over government agencies or officials, according to the poll.

Trust in Kennedy and Trump fell largely along partisan lines. About 10% of rural Democratic voters reported having a “great deal” or “fair amount” of trust in Kennedy, compared with 74% of rural Republican voters. About 5% of rural Democrats and 69% of rural Republicans said they trust Trump a “great deal” or “fair amount” for reliable health information.

While Make America Great Again and MAHA identities are “linked in a lot of ways,” the rising costs of healthcare and groceries pose a challenge for those committed to the MAHA principles that Kennedy promotes, said Peterson, the Iowa State professor.

Buying healthy food “becomes, ‘I can’t afford to do that because of Trump’s policies,’” he said.

In Stamping Ground, Kentucky, Alma Johnson, 65, works night security at a horse farm.

Johnson voted for Trump in 2016, 2020 and 2024 and said she “pretty much” likes how Trump is running the country. But she said she is not a MAGA devotee, preferring to “think for myself.”

MAHA, however, is an easy sell for Johnson because, she said, she doesn’t think people should be able to buy junk food in the Supplemental Nutrition Assistance Program, or SNAP.

Still, she said she hasn’t seen much impact from the Trump administration’s healthcare policies, including the new food pyramid.

“It takes a long time to change people, their habits, their thoughts or the things they do,” Johnson said.

Swenson, Tribble and Sanders write for the Associated Press.

The poll of 2,241 U.S. adults registered to vote in rural areas of the country was conducted Aug. 12-24, 2026, using a sample drawn from the probability-based SSRS Opinion Panel. The margin of sampling error for the full sample is plus or minus 3 percentage points. In collaboration with AP, KFF researchers worked to design the survey sample and questionnaire, analyze and report findings. This report is a collaboration between the Associated Press and KFF Health News. KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling and journalism.

Wilber Rafael Garces Perez has disputed the government’s account of what led to his shooting during a Doordash delivery in Austin, Texas.

A Venezuelan asylum seeker who was shot in the back by a United States Immigration and Customs Enforcement (ICE) officer in Texas is facing a federal assault charge, after prosecutors accused him of striking the officer with his car’s side-view mirror.

Wilber Rafael Garces Perez, 28, appeared in federal court in Austin on Tuesday, where he was charged with assaulting, resisting and impeding a federal officer. He could face up to 20 years in prison if convicted.

The charge stems from a September 20 encounter that began while Garces Perez was making a DoorDash food delivery near a shopping centre in Austin, the Texas state capital.

A federal complaint filed on Monday says immigration officers noticed that Garces Perez’s car had its emergency lights flashing, and they ran a database check. They found it was registered to Garces Perez, who was subject to a final order of removal from the US.

When the officers approached, Garces Perez handed over his driver’s license through a partially opened window but did not get out of the car, the complaint says. He asked the officers to wait until his wife could arrive to retrieve the vehicle.

Court documents describe the exchange up to that point as “pleasant and not aggressive”.

About a minute later, however, court documents say Garces Perez “abruptly” closed his window and drove off, striking one of the officers in the torso with his driver’s side mirror.

That officer chased Garces Perez in his own vehicle and caught up with him a short time later. In the complaint, the officer alleges that Garces Perez then tried to drive into him, prompting him to open fire.

There is no publicly available footage showing the events described in the complaint, including the shooting.

Videos, however, have circulated online showing the shooting’s aftermath, with Garces Perez injured in his car.

The complaint relies on unreleased body-camera footage from one of the two ICE officers who stopped Garces Perez.

The second officer was not wearing a body camera, according to the affidavit. That officer says he was struck by Garces Perez’s side mirror and later shot him.

Garces Perez, however, gave federal investigators a different account of the moments immediately before he was shot.

He told investigators that, after a brief chase, a law enforcement SUV struck his car, causing it to spin around, according to the affidavit. He said the officer then opened fire, shooting him in the back.

Garces Perez has been held in a detention facility in south Texas since the shooting.

His lawyer, Kate Lincoln-Goldfinch, said on Sunday the bullet was still lodged in his body and that he has a fractured clavicle. In a social media post, Lincoln-Goldfinch explained that his supporters were worried he could develop sepsis or suffer permanent damage if he didn’t undergo surgery soon.

The Department of Homeland Security has argued, however, that Garces Perez is receiving adequate medical care.

Garces Perez’s legal team is also seeking to stop his removal from the US.

The Venezuelan national entered the US in 2024 through CBP One, an online programme expanded under former President Joe Biden to allow asylum seekers to make appointments with immigration authorities at the US-Mexico border.

Trump ended the programme on his first day back in office, accusing the app of contributing to an immigration crisis in the US. His administration has since relaunched CBP One as CBP Home, a self-deportation portal.

Lincoln-Goldfinch has said Garces Perez was legally seeking asylum in the US and had a valid work permit. She has asserted that he was ordered to be deported after missing an immigration court hearing because the notice had been sent to an old address.

Garces Perez is due back before a federal immigration judge on Wednesday for a separate hearing on whether he can remain in the country.

The case comes amid a surge in immigration enforcement during Trump’s second term, with ICE reporting more than 50,000 arrests in both July and August.

Tehran, Iran – Iranians are stocking up on food and medicines as fears grow that the country will face dire shortages as the United States tightens an embargo on the country.

The Iranian government had managed to keep household staples flowing during the early months of the war. But a US naval blockade and pivot to draconian sanctions have led to fears that imports will be limited.

More recently, the US announced a ban on Iranian airlines worldwide and is pressing other countries to cut trade ties with Iran in a bid to isolate the country.

Addressing the United Nations General Assembly last week, Iranian President Masoud Pezeshkian condemned Washington for its blockade on his country, saying it will prevent food and medicine from reaching the Iranian people.

On Saturday, US President Donald Trump rejected Iran’s offer for a seven-day truce that would see it reopen the Strait of Hormuz in exchange for economic relief and other conditions.

As the war enters its eighth month and hopes for a diplomatic solution dim, Al Jazeera looks at how some Iranians are faring under a US embargo.

Consumers

Tehran’s stores remain stocked, but shoppers are keeping an eye on shop shelves. Their anxiety has deepened since a flurry of social media posts urging people to ensure they have several days of food before a possible new round of fighting with the US.

At one shopping centre, Ali, 51, was loading a trolley packed with rice, flour, pasta, pulses, cooking oil and canned food.

He is stocking up because he is convinced that Iran’s adversary is seeking to “starve” the people to push them to turn on their government.

“This is not a war in the traditional sense. It targets the people to put pressure on the authorities,” he said.

With flights to some nearby countries suspended, imports of certain medicines and mobile phone headsets are hard to find. The prices of those still available in shops have been pushed up.

Haj Pasandideh, a 71-year-old grocer, said he believed warehouses were well-stocked with basic goods at the moment. But the problem lies in the daily price increases due to Iran’s weakening rial, prompting him to bulk-buy goods before the expected hikes.

He sometimes caps cooking oil at one bottle per sale to ensure as many customers can purchase the goods as possible.

Exporters crushed

Farmers are also on edge due to the embargo, unable to ship out their produce and forced to sell to local markets.

The war has worsened the economic situation, even after years of sanctions that have pushed the country from being a regional exporter of agricultural and food products to being one of the region’s main importers.

Mehran, an apple grower, told Al Jazeera that due to the difficulties of exporting, he had sold only a third of this year’s harvest, all of it inside Iran.

Some neighbouring countries have halted trade with Iran in recent months, he said, while trucks now spend days at crossings they once cleared in a day, causing fruit to spoil before it reaches buyers.

“The blockade has not only closed the sea and air but also the land routes but in an undeclared manner,” he said.

Pharmaceutical shortages

The war has also deepened an already-dire shortage of medications. Some pharmacies Al Jazeera visited in southern Tehran had run out of infant formula and dozens of other types of medications.

Although officials have assured Iranians that substitute products were available, pharmacy staff expressed concern about the increasing number of customers searching for infant formula in vain.

“Imported medicines are disappearing fast, and lately people have been coming in to buy certain items before they need them for fear they will run out in future,” Mahsa, a 23-year-old pharmacy assistant, told Al Jazeera.

She said the health authorities had introduced “smart systems” to track the quantity and type of medication each person buys.

Breaking the blockade

The prospect of a prolonged siege and deteriorating economic conditions have driven some Iranians to call for a military solution.

On Tehran’s main thoroughfare, several people told Al Jazeera that another round of fighting with the US was unavoidable. Some urged the government to break the blockade by force before it is tightened further.

Mohsen, a 23-year-old economics student, believes Washington’s goal is to strangle the Iranian economy and the cost will ultimately be felt by Iranian citizens.

Iran possesses many strong cards that it must use to break the air and sea blockade before they develop into a land blockade that would completely choke Tehran, he said.

Alireza Taghavinia, an Iranian international relations expert, told Al Jazeera that the gap between Washington and Tehran was too wide to be bridged. “The siege imposed by force will only be lifted by force,” he said.

In a worst-case scenario, falling living standards could bring protesters onto the streets, he added.

“The enemy is counting on stirring up chaos inside Iran because it believes no military strike will achieve its objectives without internal unrest,” he said.

Matthew VanDyke and six Ukrainians were accused of smuggling weapons and drones to armed ethnic groups fighting India.

Matthew VanDyke, a United States citizen held in India for more than six months and accused of supporting ethnic separatist groups, has been temporarily released on bail and returned to the US.

The 47-year-old arrived on Saturday morning and reunited with his family, according to a family spokesperson.

VanDyke, who runs a Washington, DC-based consultancy that says it provides “free security consulting, training, supplies and other services to vulnerable populations”, was detained in March by Indian authorities, along with six Ukrainian nationals who were also released on Saturday.

India’s main opposition Congress party said that, despite being “accused of plotting terrorist acts”, VanDyke was allowed to return home from New Delhi.

“Obviously US pressure determined this outcome, but what did India get in return?” Jairam Ramesh, a legislator and spokesperson for the party, posted on X.

VanDyke’s family told Al Jazeera before his release that his health was failing and he had lost weight after going on a month-long hunger strike in Tihar Jail to try to improve conditions in prison. He had to use a wheelchair to attend hearings, according to his mother, Sharon. VanDyke denied the accusations against him, and his family said he was in the region documenting the situation faced by minority ethnic groups.

Earlier this month, Indian prosecutors declined to bring terrorism charges against VanDyke and the others. Instead, prosecutors formally accused them of visa violations for entering restricted areas along the Myanmar border.

The Maryland native is a former filmmaker and rebel fighter during the Arab Spring and spent about six months in a Libyan prison during the Muammar Gaddafi regime. He was held alongside James Foley, a journalist who was later killed by ISIL in Syria. In recent years, VanDyke was based in Ukraine, where his consultancy helped train Ukrainian military forces.

In a statement to Al Jazeera before VanDyke’s release, James Foley’s mother, Diane, who now heads a foundation named after him, said she was “deeply saddened by his arrest in India and by his apparent poor health.” She added that her foundation called for “his release on humanitarian grounds.”

Fatalities reached 3,901 across the DRC as health workers battle community anger and a vaccine-resistant strain.

The Democratic Republic of the Congo (DRC) has recorded over 8,000 cases of Ebola, including almost 4,000 deaths, amid the worst outbreak in the country’s history, according to government data.

The latest report, published on Monday by the DRC’s public health institute, put the number of cases at 8,067 ⁠⁠and deaths at ⁠⁠3,901, representing a fatality rate of 48.4 percent.

People’s mistrust and anger towards government policies have become a major obstacle in limiting the outbreak since it was officially declared on May 15. A senior ‌‌member of the ruling UDPS party was beaten to death after raising awareness about the epidemic on radio, a party representative said on Monday. The ⁠⁠killing happened on Sunday in Butembo in North Kivu province, which has become a hotspot in the ongoing Ebola outbreak.

The number of cases has levelled off after a rapid increase, according to the African Union’s health agency, Africa CDC, though it still considers the outbreak “not under control”.

Several treatments and vaccines are being trialled against the Bundibugyo strain of the Ebola virus, for which there is no approved vaccine or treatment.

The current outbreak, which is the DRC’s 17th, has spread rapidly. Experts say that weak health infrastructure, the region’s remoteness and ongoing conflict near the DRC’s borders with South Sudan, Uganda and Rwanda have damaged efforts to respond to cases quickly and effectively.

Those issues have also hindered the government’s efforts to fight the outbreak, increasing public mistrust and anger towards its suggested prevention measures.

Marie-Celestin ⁠⁠Karondwa, acting president of the UDPS party’s federal executive committee in Butembo, was attacked by local residents after appearing on a radio show where he discussed Ebola prevention measures, according to the Congolese health authorities.

In their latest case report, authorities highlighted a “low capacity” to treat cases at health centres in Ituri province and described a “complete shortage” of stocks of an experimental vaccine against the Bundibugyo strain in the northeastern province of Tshopo, where cases have been recorded.

The World Health Organization has said the outbreak is “far from over” and on track to surpass the regional 2014-2016 West Africa Ebola outbreak. It killed more than 11,000 people, primarily in Guinea, Liberia and Sierra Leone.

The United States announced last week that it was releasing a further $267 million to help fight Ebola. It is hoping for pledges from other countries to meet a target of $2 billion to fight the disease, mainly found in the DRC.

Tunis, Tunisia – For nine-year-old Yassar Naouar, visiting his father in prison has become an exercise in staying strong. He tries not to cry in front of Wael, fearing that seeing his son in tears would make an already painful situation harder for him. After leaving the prison, Yassar finds a corner where he can finally let the tears fall.

Hichem Naouar, Yassar’s grandfather, says the boy has changed since his father was detained. He now sleeps beside his mother after waking up screaming at night and his results at school have worsened. When Yassar told his mother that other children kept asking whether his father was a thief, she asked him what he thought.

“Never,” the nine-year-old replied.

Wael’s youngest child, four-year-old Sumud, is too young to understand why her father is in prison. Hichem says he took her to visit him. When she saw her father behind the glass, she leaned forward to embrace him, only to hit her head against the barrier.

Hichem spoke to Al Jazeera on Wednesday outside the Tunis Court of Appeal, where he had gone to follow the latest challenge to Wael’s detention. He repeatedly choked up as he described what he had seen during his most recent visit.

Wael was sitting with his hand against his cheek, his father said, his elbow trembling and his gaze fixed in the distance. He was struggling to see clearly and to keep water down without vomiting. He was dizzy and had difficulty controlling his left leg. Wael later told Hichem that other prisoners had said he sometimes wakes during the night calling out his youngest daughter’s name.

For his father, however, Wael’s story is also about the kind of person he has been. He recalled an incident during the Sumud land convoy in Libya in May, when armed men tried to kidnap another participant. Wael intervened, pulled the man away and helped him escape before returning to the men and telling them they could take him instead.

During the first Sumud flotilla, a female fell into the sea and was close to drowning. Wael immediately jumped in and rescued her.

“Wael’s strength is in the strength of his ideas and in his commitment to his people. Whenever he heard about any injustice against workers or employees, you would always find him at the forefront,” Hichem said.

The case and its wider fallout

Wael, 41, began a hunger strike on August 16 to protest his continued detention and was transferred to hospital as his condition deteriorated. He suspended his strike after 38 days following appeals from his lawyers and supporters, saying the decision did not mean abandoning his demands.

Four activists, Wael Naouar, Ghassan Henchiri, Ghassan Boughdiri and Nabil Channoufi, have been held since March following an investigation by Tunisia’s Economic and Financial Judicial Pole, a specialised body that handles financial and economic crimes. The investigation concerns alleged financial irregularities linked to fundraising for the Global Sumud Flotilla, an international campaign seeking to deliver aid to Gaza and challenge Israel’s blockade of the Palestinian territory.

The state-owned TAP news agency, citing judicial sources, reported that investigators are examining the origin and use of funds collected for the flotilla and whether any were diverted for other purposes. The activists and their defence team have repeatedly denied wrongdoing and maintain their innocence. None of the four has been convicted.

For their lawyers, the issue is also why the men should remain in prison while the investigation continues.

Ghassan Ghribi, a member of the defence committee, described the latest extension of their pretrial detention as an “exception to the exception”, arguing that freedom should be the rule and detention the exception. The four-month extension was ordered on September 11 and the defence challenged the decision before the Court of Appeal in Tunis.

“The investigating judge spent six months on the case without carrying out any investigative work, other than questioning the activists,” Ghribi told Al Jazeera. He said the extension should be based on clear reasons and that the four men were being made to pay the price for what he described as a lack of investigative work.

The Court of Appeal rejected the challenge on Wednesday, leaving the quartet in pretrial detention for another four months while the investigation continues. Henchiri, Boughdiri and Channoufi remain on hunger strike.

Authorities have presented the case as a financial investigation into the handling of funds raised for the flotilla, rather than a prosecution linked to the men’s political or pro-Palestinian activities. The government has rejected accusations that the judiciary is being used to silence opponents, saying the judiciary is independent and that legal proceedings are conducted according to the law.

The fallout has also widened beyond the four men. Fourteen people detained after the September 19 protest calling for their release have since been placed in pretrial detention, lawyer Rafed Rabbeh confirmed to Al Jazeera on Friday. Among them is a 17-year-old who was brought before a juvenile judge. Tunisia’s Child Protection Code says priority should be given to preventive and educational measures and that pretrial detention should be avoided as much as possible for children.

Rabbeh said the detainees face several charges, including participating in a gathering allegedly intended to disturb public order and commit an offence, publicly attributing unlawful acts to a public official without proof, and making public statements deemed to damage the reputation of a person or official body. The charges are based on several provisions of Tunisia’s Penal Code.

The toll on those left behind

Speaking by phone from Gafsa, Ghassan Henchiri’s father, Sebti, said his son remains conscious but is visibly exhausted after being on hunger strike since September 9.

“According to what his sister told me after visiting him, he is still holding up. The fatigue is visible. He is exhausted, but he is still conscious,” Sebti said.

Ghassan has not been taken outside the prison for further medical examination of a head injury sustained during his detention in Israel, Sebti told Al Jazeera. Ghassan and his family have raised the issue with both the prison administration and investigating judge. They were promised that he would receive the necessary medical examinations, but that has not happened, Sebti said.

“It could be a superficial injury, but with the conditions in prison and the high temperatures, it has exhausted him,” he said.

Ghassan also has other health problems, including living with one kidney and suffering from back problems, Sebti said. He has developed a skin rash that keeps him from sleeping, but his request to see a dermatologist was rejected because the prison doctor did not consider it serious, Sebti said.

“I will remain steadfast, I will not give up my right and these malicious accusations are false,” Ghassan told his father.

“He is my son, my brother, my companion, my whole life,” Sebti said. “Ghassan is a man of integrity. I am not saying that because I am his father. Everyone knows that about him.”

Ghassan’s detention has also reshaped family life. He had been working at a high school and was recently engaged, Sebti said.

He described Ghassan’s political commitment as something rooted in the family. He has been involved in student activism and later trade unions since 1978, campaigning for freedom, the right to organise and a better, more dignified life for Tunisians. Ghassan grew up with those principles and was influenced by his father’s activism.

“This is what Ghassan was raised on and what influenced him,” Sebti said.

Human Rights Watch has also raised concerns over the use of financial and money-laundering investigations against civil society actors in Tunisia.

For the Naouar and Henchiri families, the impact of the detentions is being felt at home, in prison visits, anxious phone calls and children asking when their fathers will return.

Yassar still asks about his father and has told his grandfather he is ready to go on hunger strike too.

Asked where her father is, four-year-old Sumud answers: “Palestine. Prison”.

Sept. 25, 2026 7:17 PM PT

WASHINGTON — President Trump is canceling nearly $1 billion in spending approved by Congress, the White House announced Friday, using a rare and contested power to axe funding for immigrant services and diversity-focused initiatives.

Trump’s Office of Management and Budget described the funding cut as focused on “the most harmful government spending.”

Most of the cuts are focused on Health and Human Services programs that serve refugees and unaccompanied minors accused of being in the country illegally. The administration says the funds are no longer necessary because illegal border crossings have diminished considerably.

Also targeted for cuts were a Department of Education program for migrant students, a Department of Justice office focused on reducing racial tensions, a business development initiative for minority entrepreneurs, housing counseling services from the Housing and Urban Development Department and a series of grants from the Health and Human Services Department that the administration called “outright harmful and blatantly ideological.”

A White House news release announcing the funding rescission notes that some of the organizations are led by people who worked in the Obama administration.

Trump’s move was condemned by Sen. Susan Collins of Maine, a Republican in a tough reelection campaign and chair of the Senate Appropriations Committee.

Collins said in a statement that the action came without warning or consultation. She also said she would work to address with colleagues “these illegal actions.”

“Not only is the delay itself an impoundment that was not reported to Congress, but also it is a usurpation of Congress’s appropriations powers,” Collins said. “OMB is an agency of the executive branch. It does not get to decide which programs are worth funding.”

Under federal law, Congress has 45 days to review the president’s proposed spending cuts before they take effect. But Trump made that all but impossible by announcing them with just five days left in the federal fiscal year and the House out of session through the November election. The Government Accountability Office, which is an arm of Congress, says the maneuver known as a “pocket rescission” is illegal.

Collins called it the latest attempt by OMB to “undermine Congress’s Constitutional power of the purse.”

A year ago, Trump issued a pocket rescission for the first time in nearly 50 years by blocking $4.9 billion in congressionally approved foreign aid. The U.S. Supreme Court declined to block that rescission, saying that Trump’s authority over foreign affairs weighed heavily in its decision. This year, Trump is targeting domestic spending.

The use of a pocket rescission fits into a broader pattern by the Trump administration to exert greater control over the U.S. government, eroding Congress’ power.

What was essentially the last pocket rescission occurred in 1977 when President Carter rescinded it, and the Trump administration argues it’s a legally permissible tool, despite some murkiness, since Carter had initially proposed the claw-back well ahead of the 45-day deadline.

The administration has also fired federal workers, imposed a historic increase in tariffs, and started the war in Iran without going through Congress, putting the burden on the judicial branch to determine the limits of presidential power.

Sen. Patty Murray of Washington, the lead Democrat on the Senate Appropriations Committee, described the White House action as “theft from the American people, plain and simple.”

“These are funds Congress has delivered on a bipartisan basis and should be helping people — not cut off by a president more focused on building a ballroom than investing in families,” Murray said.

Murray said that in recent spending negotiations, Democrats fought to include language to prevent the administration from usurping Congress’ power on spending decisions, but Republicans have declined to go along.

“While Trump spends tax dollars on ads promoting himself” — a reference to a taxpayer-paid TV spot that has drawn bipartisan rebuke — “Congress needs to reassert its powers to help people, and it’s past time Republicans join us in that fight,” she said.

In addition to immigrant services, the White House said it was rescinding $70 million for what it called “woke” international education programs, $28 million in grant funding for Health and Human Services research programs, and $9 million in debt relief for foreign countries that fund climate change policies. An additional $10 million was being withheld from a minority business development program.

Freking and Cooper write for the Associated Press.

Health workers struggle as new Ebola cases are found in border regions of South Ubangi and Haut-Uele.

The Ebola virus caused by the Bundibugyo strain has spread to two new health zones in the Democratic Republic of the Congo, according to the World Health Organization (WHO).

New cases were found in Bulu in South Ubangi governorate on the border with the Central African Republic and Dungu in Haut-Uele province on the border with South Sudan, the WHO said on Friday.

The additional cases bring the number of health zones affected to 63 across seven provinces as authorities struggle to control the outbreak.

As of September 23, the Democratic Republic of the Congo, or DRC, has reported 7,890 confirmed cases and 3,799 deaths, according to the WHO. That means that almost half the people who contracted the infection have died.

WHO Director-General Tedros Adhanom Ghebreyesus said conflict and population displacement were making it more difficult for health workers to reach ‌‌affected communities and trace people who may have been exposed to the virus.

“It’s very difficult to see Ebola in isolation because even our response to Ebola is affected by the conflict, because there is displacement and there is an access problem to some areas,” Tedros said.

The Bundibugyo strain is difficult to treat because there are no approved vaccines, Tedros said, adding that the WHO is accelerating clinical trials of vaccines and treatments.

Contact tracing falling short

Meanwhile, health workers looking for people who may have been exposed to the Bundibugyo strain are falling short of their targets.

According to Dr Jean Kaseya, the director-general of the Africa Centres for Disease Control and Prevention (Africa CDC), the more than 7,000 confirmed cases should translate to about 420,000 contacts.

“But currently, we have just 30,000 people in the contact list,” Kaseya said.

“When the outbreak is at community level, we cannot talk about control,” he added.

Ituri province in northeastern DRC continues to be the epicentre of the outbreak, accounting for 6,032 confirmed cases since the start of the epidemic in May, including 868 new confirmed cases reported in the last 21 days.

North Kivu is the second most affected province, with 1,480 new cases, including 567 reported in the last 21 days. The province now accounts for around a third of newly confirmed cases and deaths, the WHO said in a report on Sunday.

Nearly 60 percent of people diagnosed in North Kivu died, significantly higher than the national average of 48 percent, the data show.

Medical staff say patients are avoiding health facilities until it is too late.

“Patients think that if they arrive at the hospital, they will be immediately sent to the treatment centre to die,” said Dr Michel Paluku Mukuloli, who works at a hospital in North Kivu’s Butembo.

That complicates efforts to identify cases and start treatment before the disease reaches its most dangerous stages.

North Kivu was the epicentre of three previous Ebola outbreaks, including one in 2018-2020, which until this year was the DRC’s largest and deadliest. Those outbreaks, however, were caused by a different type of Ebola virus, known as the Zaire strain.

Much less is known about the Bundibugyo strain. But responders say in the early stages of infection, patients often experience milder symptoms easily mistaken for more common diseases such as malaria and typhoid fever.

A guest on The Repair Shop opened up about how the precious item meant so much to her family.

A guest on The Repair Shop broke down in tears as she opened up about her son’s health.

The BBC programme returned to screens on Wednesday, September 23, with spin-off Beyond the Barn. The series follows experts restoring precious items from guests across the country, while also discovering what happened after the special items were restored.

Wednesday’s programme saw a treasured trophy revived, as well as a coronation scrapbook brought back to life. At the start of the show, Ruth Dalton from Rochester arrived with a gardening tool.

She sought The Repair Shop team’s help, including expert Jonathan Reid, in reviving her grandfather’s gardening tool, a pair of secateurs, so her son could use them.

She explained: “I have my late grandfather’s gardening scissors. He used them all the time, and I kind of wanted to keep them as a reminder of him and his gardening.”

She continued: “His name was Stan. He was a real, real green-fingered guy. He had a massive garden. I used to love spending time with my grandad. As children, we were always up there, helping him in the garden.

“There were little steps that went up to a big lawn and different archways. He used to tell us what plants you could touch and what they did. You know, ‘Don’t touch the roses, you might get pricked by the roses,’ and that sort of thing.

“He was very encouraging and did teach us a lot, gardening was his life.” Ruth went on to reveal that she herself loved gardening, though her own garden wasn’t “at its best”.

Ruth explained how she wanted the secateurs fixed so she could tend to her own garden, which was built for her son. She said: “His name is Samuel, he’s got a condition called Bainbridge-Ropers syndrome.

“He was only the 12th person in the UK to be diagnosed, and there’s about 300 worldwide. He’s coming up to 26 years old. He can’t walk, he can’t talk, he doesn’t really understand much but he loves being outside. His demeanour changes completely when he’s out in the fresh air.”

She added: “He can’t do things on his own but he really loves doing things like when we’re weeding and stuff. If he can reach them, he’ll pull the weeds out himself. So I thought these would be perfect because they’re just about the right size for Samuel to hold.”

She went on to point out some “dreadful” issues with the scissors, including how rusty they were and how stiff they were to use, as well as the old paintwork that was flaking off.

When asked how it would feel for her son to be able to use the same pruners that her grandfather once used, Ruth broke down in tears. She said: “My grandad’s always there, and his guiding hand on Samuel’s… I do things hand-on-hand with him, I almost feel that if he could use those, it would be my grandad’s hand helping him and to get him out there doing something purposeful gives him that little bit of independence. It would be special, he’s a special boy, he deserves it.”

The Repair Shop: Beyond the Barn is available to watch on BBC iPlayer

Her daughter says her life could have been saved if she had taken the minor injury seriously

When Yvonne Ford and her husband Ron jetted off to Morocco in February 2025, they expected to return home with little more than happy holiday memories. Instead, what appeared to be nothing more than a tiny scratch would ultimately cost Yvonne her life.

The couple had been relaxing on sun loungers when a stray puppy appeared. At some point, it scratched 59-year-old Yvonne’s leg, leaving what appeared to be nothing more than a superficial mark. Looking back, Yvonne’s daughter, Robyn Thomson, says her parents never imagined the incident posed any danger.

“They were relaxing on the beach on the sun beds. Mum had put her legs down onto the sand and must have startled the puppy,” she said. “The puppy scratched her leg leaving a very minimal scratch on her leg.”

“It barely broke the skin and looked so insignificant that she simply cleaned it with a wet wipe and carried on enjoying the holiday.”

At the time, the family thought nothing more of it. “It was Mum and Dad enjoying a holiday together, and none of us had any idea that such a tiny scratch could expose someone to rabies. We simply didn’t know,” said Robyn, 33, from Barnsley, South Yorkshire. “That tiny scratch had absolutely changed our lives forever.”

When Yvonne returned home to the UK, Robyn remembers asking whether she wanted to get the scratch checked, but Yvonne declined because it seemed so insignificant. “If someone had told us then that such a tiny scratch could be fatal months later, we would never have believed it,” Robyn said.

For weeks after returning home, Yvonne appeared perfectly healthy and life returned to normal. Then, in early June, she developed a headache and, within days, her condition rapidly deteriorated, leading to her being admitted to Barnsley Hospital.

She first developed a headache before eventually beginning to lose the ability to walk and talk. “It was the most devastating thing we’ve ever been through,” Robyn says. “The disease spread through her body so rabidly once the symptoms started. It all started with a headache.”

From there, her condition worsened with terrifying speed. “One minute Mum was independent and full of life, and then she deteriorated so quickly,” Robyn said. “She became confused, frightened and started hallucinating. Eventually she couldn’t walk, couldn’t talk properly, couldn’t swallow, couldn’t eat and couldn’t sleep.”

Robyn says that watching her mum deteriorate was excruciating. “As her daughter, watching someone you’ve looked up to your entire life become so desperately ill and knowing there was nothing anyone could do was unbearable,” the neonatal nurse said.

As Yvonne’s condition worsened, doctors struggled to determine what was making her so ill. Five days passed before a psychiatrist, who initially suspected Lyme disease, recognised the symptoms and asked about her recent travel history.

“This is what I’ve found so hard, knowing that nobody knew what was causing my mum to be so poorly for the first five days until a doctor within the mental health sector suggested it could be a possibility,” Robyn said. One of the things she remembers the most was the shock of being told that her mum had contracted rabies.

“It was the worst news we could have received because there was no cure, nothing to be done to bring mum back,” she saif. “The damage was already done. Rabies was never something we imagined could affect our family. You associate it with something that happens somewhere else, not to your mum after a holiday. Especially with the scratch being so tiny and minimal.”

Yvonne was then transferred to the infectious disease unit at Sheffield’s Royal Hallamshire Hospital, where she died on 11 June, four months after being scratched by the puppy. Now, Robyn knows that if there had been more awareness around rabies at the time, her mum might still be here.

“Looking back now, that’s one of the hardest things to accept. If we’d understood the risk and known she needed urgent treatment immediately, everything could have been different,” she said. “We would have pushed her to get the treatment and it would have saved her life.”

Robyn is now campaigning for greater awareness of rabies to help prevent other families experiencing the same heartbreak. “I wish there were more awareness, more awareness when booking holidays about the risk of potential exposure in certain high-risk countries,” she said. “I wish someone had told us that there is no such thing as ‘just a scratch’ when it comes to rabies.”

“I wish we’d known that washing the wound thoroughly and getting post-exposure treatment immediately can save your life. That lack of awareness cost us our Mum.”

Speaking about Yvonne, Robyn describes her as “the heart” of their family. “She was funny, warm, caring and incredibly selfless,” she said. “She always put everyone else before herself and absolutely adored her family, especially being a Nannie to her four grandchildren.”

“She had so much life left to live. She and my dad, Ron, had worked hard all their lives and were enjoying making memories together. They loved travelling and experiencing different cultures, and the holiday to Morocco was supposed to be another wonderful adventure together.”

Robyn says her mum was also an animal lover who would never have imagined a puppy could pose such a danger.

“Mum loved animals and would never have imagined that a friendly looking puppy could pose such a danger,” she says. “That’s one of the biggest misconceptions people have. She would never want any harm to come to the dog.”

The scratch wasn’t the result of a vicious attack but a chance encounter that would have devastating consequences. “It was a stray puppy that didn’t seem threatening,” Robyn says. “That’s exactly why people need to understand that you can’t judge the risk by how the animal behaves or how serious the injury looks.”

Robyn is now working with Worldwide Veterinary Service and its Mission Rabies program to ensure that this doesn’t happen to anyone else. “After losing Mum, I felt I had to do something,” she said. “I couldn’t change what had happened to our family, but I could help stop it happening to somebody else’s.”

“Working with Worldwide Veterinary Service and Mission Rabies has shown me the incredible work that’s being done to eliminate rabies by vaccinating dogs and educating communities.”

Robyn also has a message for anyone else who is scratched or bitten by an animal while travelling overseas but thinks it’s “only a minor scratch”.

“Please don’t take the risk,” she says. “Our family thought it was only a tiny scratch too.. Wash the wound thoroughly with soap and running water straight away and seek urgent medical advice immediately, even if the injury seems insignificant. Don’t wait until you get home, and don’t assume you’ll be fine because the animal looked healthy or friendly.

“The vaccines could save your life.”

Rabies is present in more than 150 countries, including popular holiday destinations such as Turkey, Morocco and Thailand. According to Worldwide Veterinary Service, nearly half of Brits (47%) say they would approach or interact with a dog or cat abroad and 61% do not know that rabies can be transmitted if an infected animal licks an open wound or scratch.

As a result, the organisation is launching its Think Rabies Before You Travel campaign, urging holidaymakers to check local rabies risk, avoid contact with unfamiliar animals and seek immediate help after any potential exposure this summer.

Miranda Hart has explained why she decided to sign up to Celebrity Traitors, which comes after years out of the spotlight as she dealt with a series of health struggles

Miranda Hart has explained why she decided to sign up to Celebrity Traitors following her “long term ill health issues.” The comedienne, 53, is best known for fronting her eponymous sitcom in the late 2000s but took a break from the spotlight after becoming increasingly unwell.

The TV star previously told how she had suffered a “tick-borne illness” while living in the USA as a teenager. At one point, she was diagnosed with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome, before eventually being diagnosed with Lyme Disease in 2020.

The Celebrity Traitors will mark Miranda’s first mainstream television appearance in six years, and she has now explained that she jumped at the chance to take part.

She said: “My decision making in life generally, and certainly work, is follow the joy. I haven’t done much TV work for a long time, having only recently come out of long-term ill health issues and when I was offered this, my whole body sort of relaxed, I smiled, and I just wanted to jump about like a schoolgirl with joy.

“It’s just fun. It’s outdoors, it’s games. All the stuff I love. It’s play basically. And I’m passionate about encouraging people to play more generally, and this game is that in spades.

“It’s a brilliant television show – the only flaw in taking part is that as a fan of the show it will be less fun to watch it with myself in it!”

Despite her new lease of life, the former Call the Midwife star, who secretly got married in late 2024, is still living with elements of her illness and is struggling to a point but has been able to manage her symptoms and insisted she felt well enough to join Claudia Winkleman’s hit BBC game show.

She added: “I’m still living with elements of ME, and that brings fatigue and pain to manage, but I have come to a point where I feel well enough to step out, and that’s also partly why I’m doing this.

“The joy of mucking about on television again will hopefully outweigh some of the challenges. And I think it will be challenging on my body, so it’ll be interesting, and it’ll take some courage as this is a big next step.

“When you live with a chronic illness, it’s invisible, so people don’t know that you’re sitting there in pain. But then it reminds you that everybody’s got their thing. So, I’m also really looking forward to making friends and looking after each other and hopefully they can carry me up a hill or whatever we’re going to have to do!”

Miranda, who will appear alongside the likes of Little Mix singer Leigh-Anne Pinnock, Coronation Street legend Julie Hesmondhalgh, and Love Island host Maya Jama, even teased that there could be a nod to her sitcom past.

She added: “When someone said on Instagram, “Oh, I hope you gallop in the castle,” I foolishly replied, Right, I now take that as a dare.” So that was idiotic of me.

“I will have to at some point gallop down a corridor. I’ll gallop when no one’s watching…or who would be the best person to encourage to gallop?

“I don’t know. I mean, Kenny probably doesn’t even know who I am. So, if I could get him to gallop…I could get a new generation galloping.”

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