‘I had to kill so many people’: the battle to protect children in conflicts

25,000 grave violations were committed against children in conflict in 2019, says the UN, which hopes to highlight issue with new international day

When Islamic State fighters rolled into Mosul, Iraq, they made promises.

“When they arrived they promised us salvation, a better life, but within months our schools were closed and we were living in fear, prisoners in our own city,” says Usama Salem, 11.

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Covid risks making society more unequal than since early Victorian times | Gabriel Scally

As life expectancy stalls and infant mortality rises, abolishing Public Health England will only make things worse

In the midst of Covid-19 it is easy to forget that the country is facing not just one, but two, very badly managed public health emergencies. The substantial and largely avoidable death toll in the current epidemic is undoubtedly due to a series of ill-informed and inept decisions about how the country should respond to its greatest public health crisis in more than a century. But the virus’s task was undoubtedly made easier by a serious deterioration in the health of the population over the past decade.

Since the beginning of the 20th century life expectancy in England has improved consistently. Until the last decade that is. As a result of government policies over the last 10 years improvement in life expectancy has stalled, and for women in the most deprived areas it has actually fallen. The widening gap between life expectancy in the best-off and worst-off areas is now almost 10 years for men and seven and a half years in women. Similarly, the infant mortality rate for England and Wales reached its lowest point in 2014 and has been consistently higher ever since. Across a whole range of other public health indicators, such as drug-related deaths, sexually transmitted diseases and childhood immunisations, the position has been deteriorating.

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Fatigue and headache most common Covid symptoms in children – study

Researchers call for age-based symptom checklists as virus presents differently in children

Fatigue, headache and fever are the most common symptoms of coronavirus in children, with few developing a cough or losing their sense of taste or smell, researchers have found, adding to calls for age-specific symptom checklists.

The NHS lists three symptoms as signs of Covid-19 in adults and children: a high temperature, a new, continuous cough, and a loss or change in the sense of smell or taste.

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More than 1,000 UK doctors want to quit NHS over handling of pandemic

New survey finds two-thirds of respondents plan to leave within three years, citing Covid-19 burnout and frustrations over pay

Over 1,000 doctors plan to quit the NHS because they are disillusioned with the government’s handling of the Covid-19 pandemic and frustrated about their pay, a new survey has found.

The doctors either intend to move abroad, take a career break, switch to private hospitals or resign to work as locums instead, amid growing concern about mental health and stress levels in the profession.

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Stay connected to nature after lockdown, National Trust urges

Conservation charity launches appeal to raise money for projects halted due to pandemic

A major appeal aimed at encouraging people to maintain links made with the natural world during lockdown and to raise money for environmental projects halted because of the Covid-19 crisis is being launched by the National Trust.

The conservation charity is also keen to encourage more care and respect for nature following a surge in littering, fly-camping and damage to nature and wildlife this summer.

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The girls and women fighting to stop child marriage – photo essay

Five women affected by child marriage tell their stories – and of their struggles to protect others

  • Text and photographs by Thom Pierce

Twelve million girls are married every year before they reach 18, according to UN estimates. And in its first set of global statistics on child marriage rates among boys, the UN found one in 30 young men were married as children.

Advances have been made, however. Ending child marriage by 2030 is a target in the UN’s set of sustainable development goals, and many countries have launched strategies to stop the practice. But progress is slow and likely to be badly affected by the coronavirus pandemic as closed schools and financial pressures take their toll on families. In April, the United Nations Population Fund predicted that an additional 13 million children could be married over the next decade because of disruption to programmes.

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Covid symptoms: diarrhoea and vomiting may be key sign of coronavirus in children – study

Research suggests stomach trouble more predictive of virus in young people than a cough

Diarrhoea and vomiting could be an important sign of Covid-19 in children, researchers say, leading to calls for the official NHS list of symptoms to be updated.

The checklist for coronavirus in children currently includes just three symptoms: a high temperature, a new, continuous cough, and a loss or change to the sense of smell or taste. The latter was added to the list in May.

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‘A race against time’: the new law putting Somalia’s children at risk of marriage

Child marriage in the country has increased during coronavirus – and now a newly-tabled bill would allow children as young as 10 to marry

Fardowsa Salat Mohamed was 15 when her cousin asked her parents for her hand in marriage. Her father did not hesitate to say yes. When Mohamed objected, her father asked her to choose between “a curse and a blessing”.

“That was not a choice for me, I was basically forced,” she says. “No girl would ever choose to be cursed by her parents so I had to accept the marriage,”

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Mass weekly Covid-19 testing of population to be trialled in England

Jeremy Hunt says UK should embrace repeat testing as route to more ‘normal life’

The UK government is to trial routine weekly Covid testing of the population as part of preparations to head off a possible winter second wave, as the former health secretary Jeremy Hunt called for such tests to become the norm.

Matt Hancock said the government was committing an extra £500m to scale up testing capacity and launch community pilots trialling the effectiveness of repeat testing in schools and colleges, as well as in the population as a whole. It will also ramp up the trials of a new test kit that it is claimed can provide results within 20 minutes.

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Vaccine-derived polio spreads in Africa after defeat of wild virus

Fresh cases of disease linked to oral vaccine seen in Sudan, following outbreak in Chad

A new polio outbreak in Sudan has been linked to the oral polio vaccine that uses a weakened form of the virus.

News of the outbreak comes a week after the World Health Organization (WHO) announced that wild polio had been eradicated in Africa.

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‘I had to stand up’: young refugees learn to take on MPs and the UK media

The voices of young asylum seekers have been absent from the debate over their futures – until a charity decided to teach them public speaking

Naqeeb, a 20-year old refugee from Afghanistan, has watched with increasing dismay the reaction of politicians and journalists to the people who are risking their lives attempting to reach the UK across the Channel.

Among those packed aboard flimsy dinghies are teenagers and children travelling alone: more than 400 unaccompanied minors have attempted to cross from France to England by sea this year.

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Quarter of Covid victims in England and Wales have dementia – study

Data also shows up to 75% of all deaths in care facilities globally were of people with dementia

People with dementia accounted for a quarter of all Covid-related deaths in England and Wales, and three-quarters of all deaths in care facilities globally, data shows.

The London School of Economics and University College London are looking at the mortality rate of those with dementia in a regularly updated report. According to their research, up to 75% of Covid-19 deaths globally in care facilities are those with dementia as an underlying condition.

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‘It destroys lives’: why the razor-blade pain of vaginismus is so misunderstood

This common condition can lead to relationship breakdown and unnecessary surgery. So why is treatment still so poor and underfunded?

I was just a few weeks into a new relationship when the pain started. Whenever my boyfriend and I started to have penetrative sex, it felt as if there were razor blades inside me. At first I laughed it off, but soon I became terrified of intercourse. My body would freeze with fear as my clothes came off. By the time we said: “I love you,” even kissing made me feel anxious. I would spend entire day trips and holidays with him worrying about the pain.

When I first went to my GP, the advice I got was to “try and relax”. It was about as helpful as telling someone having a panic attack to “just chill out”. Without a real solution, I started to question whether I was imagining the pain. Or if maybe, somehow, I was to blame for it. My boyfriend was kind and supportive but I felt I was letting him down. Some days, I would feel so ashamed that it was hard to think about anything else. Other days, I’d feel an overwhelming sense of loss for the carefree woman I had been.

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Recognise DfID expertise and influence in FCO merger, Raab urged

Department for International Development gave ‘huge heft to global Britain’, says ex-secretary of state ahead of 2 September merger

Dominic Raab must recognise the “extraordinary influence and expertise” of staff at the Department for International Development (DfID) to maintain Britain’s position as a world leader, according to former Conservative development secretary Andrew Mitchell.

Mitchell, who was secretary of state from 2010 to 2012, said the DfID, which merges with the Foreign and Commonwealth Office on 2 September to become the Foreign Commonwealth and Development Office (FCDO), had contributed “huge heft to global Britain” in terms of soft power.

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How the race for a Covid-19 vaccine is getting dirty

Scientists worldwide are working against the clock to find a viable coronavirus vaccine – but are corners being cut for the sake of political gain and profit?

To begin with, it felt like a sleek performance from a well-honed relay team. On 11 January, only 10 days after reporting a new respiratory disease, the Chinese published the genome sequence of the virus that causes it. Researchers around the world set to work building vaccines against Covid-19, as the disease became known, and the first candidate entered human trials on 16 March; it was joined, as the months passed, by dozens of others.

Scientists were jubilant, and they had every right to be. They’d broken all vaccinology records to get to that point. But then tensions began to surface among the team members, and lately even the most distracted spectator will have noticed that they appear to be trying to nobble each other openly on the track. With accusations that the Russians and Chinese hacked research groups in other countries, biotech executives criticised for cashing in on their own, as yet unapproved vaccines, and Russia approving a vaccine that is still in clinical trials, the quest for a vaccine seems to have turned sour.

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Under-25s bearing brunt of Covid mental-health toll – survey

Findings reveal anxiety, inability to concentrate and fears over employment at high levels among young people

Young people have suffered more with mental health issues over the last few months than any other age group, according to a far-reaching study that has scrutinised the effects of the pandemic on the under-25s.

A troubling picture of growing levels of anxiety and an inability to concentrate was reported by those aged between 18 and 24 as part of an extensive survey of more than 6,000 adults carried out by YouGov and designed by the Resolution Foundation, which was subsequently analysed by the independent charity the Health Foundation.

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National Trust sacking education officers ‘will hit worst-off children’

Volunteers accuse charity of excluding deprived and minority ethnic schoolchildren

Volunteers are accusing the National Trust of excluding deprived and minority ethnic schoolchildren from enjoying nature and visiting its properties with the planned sacking of the charity’s education officers.

The number of protests and petitions are growing over the trust’s controversial “reset” involving the proposed loss of 1,200 jobs, including its learning staff, as the charity plans to stop providing any curriculum-based content or learning activities for schools.

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Revealed: auditors raised minimum-wage red flags at Boohoo factories

Exclusive: Third-party reports set out allegations at 18 Leicester suppliers

The fast-fashion retailer Boohoo has been selling clothes made by at least 18 factories in Leicester that audits say have failed to prove they pay the minimum wage to workers, a Guardian investigation has found.

Third-party audit reports produced over the past four years make claims of “critical” issues over record-keeping and working hours at the time they were written, suggesting that in parts of the supply chain workers may be paid as little as £3-£4 an hour.

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It’s tempting to think only charities can end abuse in aid. But we need state backup | Frances Longley

The UK government has gone quiet on global safeguarding. The new FCDO must work with NGOs to hold abusers accountable

When stories of sexual abuse, harassment and exploitation in the aid sector surfaced in February 2018, a firestorm of blame and recrimination broke out across British NGOs. Household names were vilified, and the secretary of state for international development publicly declared that we had lost our moral compass.

Stories from victims and survivors were horrific and needed to be heard. NGOs were ashamed that abuse was still happening on our watch. We apologised, made promises of improvement and change. We came together as a sector and rapidly acted. Policies, processes and training were improved across hundreds of organisations and thousands of staff around the globe.

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Covid turns tide on India’s Ganesh festival traditions

Thousands of ritual statues are dunked into the sea off Mumbai each year – but coronavirus and pollution concerns are forcing change

In the quiet housing estate of Angrewadi in the heart of Girgaon in south Mumbai, people are celebrating the 100th consecutive year of the Ganesh Chaturthi, the Hindu festival of the elephant-headed god of new beginnings. Statues of Lord Ganesh are brought into homes and put on display for offerings and prayers.

On the 11th and final day of the festival, the ritual of Ganesh Visarjan takes place – falling this year on 1 September. The statues, normally made of soluble plaster of paris, are traditionally carried in a public procession with music and chanting, and are then immersed in either a river or the sea. Here, they slowly dissolve in a ceremony that dramatises the Hindu view of the ephemeral nature of life – but also causes widespread pollution.

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