Purdue’s opioid settlement set to herald barrage of lawsuits against big pharma

Oklahoma chooses to settle for $270m over Purdue’s criminal marketing of OxyContin – but more lawsuits are likely to come

Oklahoma’s attorney general, Mike Hunter, thought it best to take the money and run.

Just weeks from the start of a much-anticipated trial against the company at the heart of the US opioid epidemic, Hunter was unnerved when Purdue Pharma began making noises about declaring bankruptcy in the face of mounting lawsuits over its powerful narcotic prescription painkiller, OxyContin.

Continue reading...

The French must drink less wine, say health officials

Health agency advises no more than two glasses a day to cut down alcohol-related disease risk

“Quoi, just two glasses?” asked the headline on the English page of the rolling news station France 24.

It was the incredulous reaction to a campaign launched this week by French health officials seeking to persuade the public to drink no more than two glasses of wine per day – and not every day either.

Continue reading...

Trump expands global gag rule that blocks US aid for abortion groups

Policy bans aid going to foreign groups that support abortion rights as secretary of state Pompeo says: ‘This is decent and right’

The Trump administration has expanded its ban on funding for groups that conduct abortions or advocate abortion rights, known as the global gag rule, and has also cut funding to the Organisation of American States for that reason.

Related: How Trump signed a global death warrant for women | Sarah Boseley

Continue reading...

Children’s chances of surviving cancer less than 30% in poor nations – study

Stark differences revealed in five-year survival rates between rich and low- and middle-income countries

Figures reveal a striking disparity in five-year cancer survival rates for children in developing nations compared with those from rich countries.

More than 80% of children diagnosed with the disease in high-income states will live for more than five years, yet fewer than 30% of young people with cancer in low- and middle-income nations have the same chance of survival, research has shown.

Continue reading...

Gangs using dead rats to smuggle drugs into Dorset prison

Ministry of Justice says criminals are stuffing rodents with drugs and mobile phones

  • Warning: this article includes graphic images some readers may find disturbing

Related: ‘It’s not just you who does the jail sentence, it’s the whole family’ | Clare Horton

Criminal gangs are using dead rats to smuggle contraband material such as drugs and mobile phones into jail, the Prison Service has said.

Continue reading...

Cyclone Idai death toll passes 750 with more than 110,000 now in camps

Devastated areas of Mozambique, Zimbabwe and Malawi brace for the spread of waterborne diseases such as cholera and malaria

Cyclone Idai’s death toll has risen above 750 in the three southern African countries hit 10 days ago by the storm, as workers try to restore electricity and water and prevent an outbreak of cholera.

In Mozambique the number of dead has risen to 446, with 259 dead in Zimbabwe and at least 56 dead in Malawi.

Continue reading...

The drugs don’t work: what happens after antibiotics?

Antibiotic resistance is growing so fast that routine surgery could soon become impossible. But scientists are fighting back in the battle against infection

The first antibiotic that didn’t work for Debbi Forsyth was trimethoprim. In March 2016, Forsyth, a genial primary care counsellor from Morpeth, Northumberland, contracted a urinary tract infection. UTIs are common: more than 150 million people worldwide contract one every year. So when Forsyth saw her GP, they prescribed the usual treatment: a three-day course of antibiotics. When, a few weeks later, she fainted and started passing blood, she saw her GP again, who again prescribed trimethoprim.

Three days after that, Forsyth’s husband Pete came home to find his wife lying on the sofa, shaking, unable to call for help. He rushed her to A&E. She was put on a second antibiotic, gentamicin, and treated for sepsis, a complication of the infection that can be fatal if not treated quickly. The gentamicin didn’t work either. Doctors sent Forsyth’s blood for testing, but such tests can take days: bacteria must be grown in cultures, then tested against multiple antibiotics to find a suitable treatment. Five days after she was admitted to hospital, Forsyth was diagnosed with an infection of multi-drug-resistant E coli, and given ertapenem, one of the so-called “last resort” antibiotics.

Continue reading...

‘This is blood money’: Tate shuns Sacklers – and others urged to follow

Pressure builds on other institutions to disavow Sackler family over OxyContin, powerful painkiller linked to opioid deaths

Earlier this year at the Guggenheim in New York, activists objecting to donations from the Sackler family draped protest banners from the museum’s famous spiraling balconies, dropped flyers down through the atrium and pretended to die all over the floor. A gobsmacked public looked on.

Tate Modern has just escaped a similar fate.

Continue reading...

Revealed: no need to add cancer-risk nitrites to ham

Confidential meat industry report shows additives do not prevent food poisoning

A bombshell internal report written for the British meat industry reveals nitrites do not protect against botulism – the chief reason ham and bacon manufacturers say they use the chemicals.

The study, conducted for the British Meat Processors Association (BMPA) by the scientific consultancy Campden, and marked “confidential”, examines the growth of the toxin Clostridium botulinum in the processing of bacon and ham.

Continue reading...

‘The water took everything’: Buzi evacuees tell of Cyclone Idai ordeal

People rescued by boat are arriving at Beira in hope of first aid, shelter and reunion with their families

Standing in the fishing port in Beira, Mozambique, Jose Mala scans the faces of those evacuated by boat from Buzi – one of the towns hardest hit by Cyclone Idai – searching for anyone he knows.

He had hopeful news the day before, says Mala, 27. He met a neighbour at the port who told him his sister and two nephews had survived the cyclone that destroyed large parts of their hometown.

Continue reading...

Dirty water 20 times deadlier to children in conflict zones than bullets – Unicef

World Water Day study highlights lethal nature of unsafe sanitation and hygiene for children, especially under-fives

Children under five who live in conflict zones are 20 times more likely to die from diarrhoeal diseases linked to unsafe water than from direct violence as a result of war, Unicef has found.

Analysing mortality data from 16 countries beset by long-term conflict – including Afghanistan, Iraq, Syria and Yemen – the UN children’s agency also found that unsafe water, sanitation and hygiene kills nearly three times more children under 15 than war.

Continue reading...

David Bailey: ‘Deneuve said it’s great we’re divorced – now we can be lovers!’

As he powers into his 80s, the photographer recalls shooting everyone from Kate Moss to Andy Warhol, shares his regrets over voting leave – and reveals how Gordon Brown pulled a fast one on him

‘You look knackered,” says David Bailey, greeting me at his studio. It’s up a small mews and sprawls so casually across two floors that it still feels like the 60s inside. “Look at you,” he says. “Your buttons aren’t even done up right.” I look down at my jacket: that bit is true. But I tell him: “I’m not tired!”

“I was watching you walking along the street,” he says. “I thought, ‘That must be the journalist, she looks knackered.’” The combination of acuity (he must be right: he is, after all, the one who makes a living with his eyes) and demonic overfamiliarity (by this point, we are holding hands; I have no idea who started it) is disarming. If this is his shtick, it’s working on me, totally and overwhelmingly. Or maybe he has a tailored shtick for everyone he meets.

Continue reading...

Report calls for reform of ‘unhealthy’ land ownership in Scotland

Commission set up by Scottish government recommends new powers to split monopolies

Scottish land ownership rules must be radically reformed to reverse the concentration of the countryside in the hands of a small number of ultra-wealthy individuals and public bodies, a major review has warned.

The study by the Scottish Land Commission, a government quango, says that in extreme cases where landowners abuse their power they could face compulsory purchase or community buyouts.

Continue reading...

Self-interest must not guide UK aid | Letters

Britain’s aid budget must be about altruism, not narrow self-interest say the Rt Rev John Arnold and the Rt Rev Dr Christopher Cocksworth

Your article (Aid budget: Ex-minister joins calls for shake-up, 18 March) on the report by the TaxPayers’ Alliance offers an opportunity to reflect again on what we want and expect from our government.

In the suffering of men, women and children caught up in conflict, dealing with the worst effects of climate change or leaving their homes in search of a safer future, we see the face of Jesus Christ.

Continue reading...

Social workers can do so much more than just pick up the pieces

At its best, social work can break cycles of crisis, and help people change their lives and communities

  • Guardian Jobs: see the latest vacancies in social care

Too often, social services are designed as rotating doors. They focus on individuals in crisis who, when the symptoms of the emergency have eased, are sent directly back to the stressful situation that caused all the damage – a painful, costly and tragic cycle.

There is little focus in formal social services on helping people to transform their environments to provide ongoing support and love, let alone engaging people to become advocates for their rights. Yet outside these limitations, social workers are supporting connections in communities designed to last people’s whole lifetimes. In many countries we call it “working beyond services”. There are countless examples around the world.

Continue reading...

UK breast cancer death rates falling fastest in ‘big six’ of Europe

Study says women aged 50-69 most likely to benefit, while those aged 70-79 will gain least

Death rates from breast cancer are falling faster in Britain than in any other of the six most populous countries in Europe, research shows.

The rate of death from the disease has fallen by 17.7% since 2010-2014 thanks to screening, earlier diagnosis and better treatment, a Europe-wide study [pdf] has found.

Continue reading...

Good enough to eat? The toxic truth about modern food

We are now producing and consuming more food than ever, and yet our modern diet is killing us. How can we solve this bittersweet dilemma?

Pick a bunch of green grapes, wash it, and put one in your mouth. Feel the grape with your tongue, observe how cold and refreshing it is: the crisp flesh, and the jellylike interior with its mild, sweet flavour.

Eating grapes can feel like an old pleasure, untouched by change. The ancient Greeks and Romans loved to eat them, as well as to drink them in the form of wine. The Odyssey describes “a ripe and luscious vine, hung thick with grapes”. As you pull the next delicious piece of fruit from its stalk, you could easily be plucking it from a Dutch still life of the 17th century, where grapes are tumbled on a metal platter with oysters and half-peeled lemons.

Continue reading...

Doctors in Zimbabwe ‘sending patients away to die’ as drug shortages bite

Senior doctors go on strike as president is warned that lack of medicine could lead to collapse of emergency services

A doctors’ strike in Zimbabwe entered its second day on Wednesday with health workers claiming patients in the biggest state hospital are dying due to a lack of drugs and medical supplies.

Dozens of doctors picketed outside Parirenyatwa hospital demanding improvements and claiming government promises to improve the health service had come to nothing.

Continue reading...

Anish Kapoor: ‘If I was a young Muslim, would I feel angry enough to join Isis? I would at least think about it’

Britain has gone through the looking glass and the artist’s new show follows it into the abyss. He talks about the upsurge in racism, fighting for Shamima Begum – and his clash with France’s president

At 7.30 on the morning after Britain voted to leave the European Union, Anish Kapoor left his London flat for an appointment with his analyst. On the street, he heard two men talking. “Bet he doesn’t even speak English,” said one. “I turned around and they were talking about me. I was so furious.”

Sir Anish Mikhail Kapoor, CBE, RA, the 65-year-old, Turner prize-winning, Mumbai-born British-Indian artist, who has lived in London since the early 1970s and (though this is hardly the point) speaks better English than most of his countrymen, had woken up in a new land. “Since then permission has been given for difference, rather than being celebrated, to be undermined.”

Continue reading...

Stephen Hawking’s former nurse struck off for failings in his care

Patricia Dowdy deemed not fit to practise over multiple misconduct charges

One of Stephen Hawking’s former nurses has been struck off after the Nursing and Midwifery Council ruled she “failed to provide the standards of good, professional care that we expect and Professor Hawking deserved”.

The NMC said Patricia Dowdy, 61, had faced multiple misconduct charges in relation to the care she was providing to the eminent physicist, including financial misconduct, dishonesty, not providing appropriate care, failing to cooperate with the NMC and not having the correct qualifications.

Continue reading...