Trump’s steroid Covid treatment adds to confusion over health

Dexamethasone ‘normally reserved for people going into respiratory failure’, says expert

The latest intervention from Donald Trump’s medical team has been to put the president on dexamethasone, a steroid that is proven, thanks to the UK’s Recovery trial, to benefit Covid-19 patients who are having breathing difficulties.

But the decision to administer the steroid now has only added to the confusion surrounding the president’s state of health. Normally, dexamethasone is reserved for patients who have been ill for at least a week and whose oxygen levels are low.

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Blue sky thinking: is it time to stop work taking over our lives?

Anthropologist James Suzman says now is the perfect time to rein in our unsustainable work habits. But is it possible?

Three encounters loom large in the anthropologist James Suzman’s memory of his brief but informative stint in the corporate world. The first was early on, when he told a colleague that he didn’t need to spend the half-million pounds allocated for a task because he could do it for free. His colleague was horrified. “If you don’t spend your budget,” he said, “they won’t think we’re doing anything!”

Soon afterwards, Suzman was chatting with a board director about what they’d do if they won the lottery. Suzman thought of the director’s massive townhouse and annual bonus. He was surprised when the man told him that, even with a colossal windfall, he’d continue working.

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‘So old he was losing his hair’: survivors urge MPs to end scandal of UK’s child brides

A new bill could close loophole allowing under-18s to marry in England and Wales, as charities warn Covid has exacerbated hidden child marriage

When Payzee Mahmod was married at 16 to a man nearly twice her age she didn’t understand the words spoken during the Islamic ceremony – and nobody thought to translate them for her.

The teenager, who loved fashion and pop music, was preparing to start college. “I had just finished school and the idea of not wearing a uniform was exciting to me,” she remembers. “Instead I found myself trussed up in a wedding dress, with elaborate jewellery, feeling like a sale item at an auction.”

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Ex-BBC presenter and pastor jailed for 10 years for prolific sexual abuse

Benjamin Thomas pleaded guilty to 40 offences over 30 years, mainly against teenage boys

A former pastor and BBC television presenter has been jailed for 10 years and four months after he admitted abusing boys and men over almost three decades.

Ben Thomas, 44, carried out many of his attacks while his victims were sleeping at Christian camps and conferences, Mold crown court in north Wales heard.

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Malaria campaigns fight off Covid disruptions to deliver programmes

Almost all planned work against the disease has gone ahead this year, delivering nets, drugs and the world’s first malaria vaccine

More than 90% of anti-malaria campaigns planned this year across four continents are on track, despite disruptions caused by the coronavirus pandemic, according to new research.

The delivery of insecticide-treated nets and provision of antimalarial medicines in the majority of malaria-affected countries across Africa, Asia and the Americas were still going ahead, a high-level meeting organised by the RBM Partnership to End Malaria heard on Thursday.

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Covid crisis could force extra 2.5m girls into child marriage – charity

Save the Children predicts worst rise in child marriage rates in 25 years as a result of pandemic

Up to 2.5 million more girls around the world are at risk of being forced into child marriage over the next five years as a result of the impact of Covid-19, according to a report by Save the Children.

The charity predicts the worst surge in rates of child marriage in 25 years, as the pandemic has shuttered schools and pushed poor families further into destitution.

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Sober October: 17 ways to unwind after a stressful day – without hitting the booze

Thousands of people will attempt to give up alcohol next month and for many it will be the hour after work that ruins their plans. Here’s how to relax without reaching for alcohol

With Sober October just around the corner, thousands of us will again be attempting to give up booze for a month. But what are the best ways to wind down at the end of the day when alcohol is off the menu? Here are 17 ideas to get you started.

1 Find a new ritual to switch off. “It is important to mark the change in the day – where work ends and your life starts – especially if you are working at home,” says Laura Willoughby, the co-founder of the mindful drinking community Club Soda. “But that does not have to mean an alcoholic drink. Often it has become the time where we do most of our incidental drinking – we open the fridge at the end of the day without really realising.”

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40% of world’s plant species at risk of extinction

Race against time to save plants and fungi that underpin life on Earth, global data shows

Two in five of the world’s plant species are at risk of extinction as a result of the destruction of the natural world, according to an international report.

Plants and fungi underpin life on Earth, but the scientists said they were now in a race against time to find and identify species before they were lost.

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Brexit: warnings for care sector in pandemic as freedom of movement ends

Wages should rise to make jobs more attractive to UK staff say government advisers

The end of freedom of movement will increase pressure on the social care sector in the midst of a pandemic unless ministers make jobs more attractive to UK workers by increasing salaries, government advisers have warned.

The Migration Advisory Committee (Mac) has warned of the “stark consequences” of low wages in social care with most frontline role ineligible for the post-Brexit skilled worker immigration route or on the official list for job shortages in the UK.

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‘Any focus on them is good’: can a new scheme help Delhi’s missing children?

With 17 children missing every day, the city’s police commissioner hopes a promise of fast-track promotion will inspire officers to reunite more families

New Delhi Police Commissioner SN Srivastava was particularly troubled over the 17 children who went missing in his city every day. So he decided to light a fire in the belly of his force and came up with a new approach.

If any officer could find 50 missing children in a year their promotion would be fast-tracked. It usually takes constables at least five years to be promoted to head constable, and meeting the target would dramatically speed that up.

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A quarter of adopted UK children affected by drinking during pregnancy

Survey by Adoption UK finds 17% of adopted children are suspected of having foetal alcohol spectrum disorder

One in four adopted children are either diagnosed with or suspected to have a range of conditions caused by drinking in pregnancy, according to a recent survey of nearly 5,000 adopters in the UK.

Among the adopters surveyed by the charity Adoption UK, 8% of children had a diagnosis, and a further 17% were suspected by their parents to have foetal alcohol spectrum disorder (FASD), the neurodevelopmental condition characterised by difficulty with impulse control, as well as behavioural and learning difficulties.

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Argentina president under pressure to keep election promise on abortion

Over 1,000 public figures call for Alberto Fernández to stay true to his election pledge despite distraction of coronavirus pandemic

Pro-choice campaigners are renewing pressure on president Alberto Fernández to make good on his electoral pledge to legalise abortion in Argentina.

More than 1,000 public figures, writers, journalists and artists added their names to an advert published in three Argentinian newspapers on Sunday, calling for the government to keep its commitment.

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‘Like the English civil war’: Covid crisis inflames neighbour disputes

Professional mediators report a surge in requests for help as community tensions boil over

A couple are having raucous parties in flagrant breach of the “rule of six”. An elderly woman with symptoms faces the fury of other residents by touching a communal door. A music teacher is imposing her students’ discordant notes on the flat downstairs. And a small child following an exercise routine has prompted a neighbour to declare: “I want to kill Joe Wicks.”

Over six months of the coronavirus crisis, community relations have been strained to the point that one concerned retiree in the south-west told the Guardian: “It’s like the English civil war.”

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Regular UK lockdowns could help control Covid, says Sage expert

Strategy of repeated ‘circuit breakers’ would reduce total number of cases, according to leading scientific adviser

One of the government’s scientific advisers has said repeated “mini lockdowns” could be effective as a tool to bring Covid-19 cases under control.

The suggestion from Professor John Edmunds, a member of the government’s Scientific Advisory Group for Emergencies (Sage), comes amid growing evidence the virus’s prevalence is growing among older, more vulnerable people.

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MS treatment a step closer after drug shown to repair nerve coating

Side-effects of bexarotene rule out use but trial suggests other drugs may halt multiple sclerosis

Doctors believe they are closer to a treatment for multiple sclerosis after discovering a drug that repairs the coatings around nerves that are damaged by the disease.

A clinical trial of the cancer drug bexarotene showed that it repaired the protective myelin sheaths that MS destroys. The loss of myelin causes a range of neurological problems including balance, vision and muscle disorders, and ultimately, disability.

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From garden streets to bike highways: four ideas for post-Covid cities – visualised

As the pandemic wreaks havoc on existing structures, we look at some visions for post-Covid cities – and how they hold up

There is a huge, looming, unanswerable question that overshadows our cities, like an elephant squatting in the central square. Will a Covid-19 vaccine or herd immunity return us to “normal”, or will we need to redesign our cities to accommodate a world in which close proximity to other people can kill you?

After an anxious summer in the northern hemisphere, during which those of us who were able to safely do so mimicked a kind of normality with limited socialising on patios and in gardens, winter is coming – and it will test the limits of our urban design. Regardless of whether we “solve” this latest coronavirus, humanity now knows how vulnerable we are to pandemics.

Can we mitigate the effects of the next great disease before it happens? And has the colossal disruption to the way we work and travel created a renewed impetus to organise cities in a more sustainable, more pleasant way?

We asked four architecture firms to share their visions of what cities should do, now, to better design everything from offices to streets to transport – and we have analysed each one – to help inoculate our cities against a disease that is proving so difficult to inoculate against in our bodies.

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El Salvador woman freed after six years in jail following stillbirth

Cindy Erazo was accused of aggravated homicide after an obstetric emergency

A woman sentenced to 30 years in jail after a stillbirth that was judged to be her fault has been released from jail in El Salvador.

Cindy Erazo, 29, from San Salvador, was granted conditional freedom on Wednesday after six years in jail.

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Kissing cowboys: the queer rodeo stars bucking a macho American tradition

Photographer Luke Gilford couldn’t believe his eyes when he first stumbled across a gay rodeo. He set out to capture the joyous, tender, authentic world he saw there

Luke Gilford was at a Pride event in northern California in 2016 when he was drawn to a stand by the sound of Dolly Parton singing 9 to 5. What he found there would change his life. Members of the local chapter of the Golden State Gay Rodeo Association were promoting what they do, and how they live. Gilford looked on in astonishment. “I grew up around this world,” he says. “I had no idea this existed. I really didn’t think it was real.”

A sought-after film-maker and photographer, to whom Barbara Kruger is a mentor and Pamela Anderson and Jane Fonda muses, Gilford cuts a striking figure. A New York Times profile that same year recounted how you could often catch a glimpse of him downtown, in a hand-me-down cowboy hat, football-style shoulder pads over his bare torso.

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Raising of UK Covid alert level opens door to major restrictions

Chief medical officers agree jump to level 4, meaning virus is ‘high or rising exponentially’

The UK’s Covid-19 alert level has been raised to four, meaning the virus is “high or rising exponentially” – a move which will give Boris Johnson cover for significant new restrictions to stem the surge of the virus.

The health secretary, Matt Hancock, said the change “reflects the significant shift in the current threat posed by coronavirus”. He added: “This country now faces a tipping point in its response and it is vital everybody plays their part now to stop the spread of the virus and protect lives.”

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