31/08/2016 BBC News at Ten


31/08/2016

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Tonight at Ten - junior doctors in England will

:00:00.:00:00.

intensify their strike action in the long-running dispute over

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They'll walk out for five consecutive days, starting

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on September 12th, with no sign of any new agreement in prospect.

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This is devastating news for patients.

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Perhaps 100,000 operations will now have to be cancelled,

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around a million hospital appointments will have

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We're willing to take a greater cutting our pay in order to stand up

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to and oppose this contract. We'll be asking if the prospect

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of resolving the junior doctors' dispute is more distant

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than it's ever been. Another 2,000 migrants rescued today

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the Italian coastguard say that Theresa May says they're aiming

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for a unique deal for the UK In south London a woman

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and a boy have been killed They were hit by a car

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being chased by police. And we report on a new treatment

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showing promising signs of slowing And coming up in Sportsday on BBC

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News, all the transfer deadline day deals, including a big-money return

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to Chelsea for Brazil Junior doctors in England

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are to intensify their strike action in the long-running dispute over pay

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and working hours. Ministers accused the British

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Medical Association of playing politics instead

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of putting patients first. But the doctors say

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the new contract is unfair This latest action will involve

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a full withdrawal of labour over five consecutive days

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between the hours of 8am and 5pm from the 12th

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to the 16th of September. Our health editor Hugh

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Pym has more details. Scenes like this are said to be

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repeated outside hospitals in England. Walk-outs by junior doctors

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and cancellations of operations, a spring of industrial action gave way

:02:43.:02:46.

to what looked like is a settlement, button or to modest rex is on the

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cards, with doctors opposing the Government's imposition of a new

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contract. No doctors want to take industrial action, but the silence

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from the Government, the lack of the response, it has meant we were left

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with no other choice than to take further industrial action today.

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This is devastating news for patients, perhaps 100,000 operations

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will have to be cancelled, around 2 million appointments will have to be

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postponed, causing worry, distress and anxiety for families up and down

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the country. Strike action affecting routine care

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began in January this year, but in April the 1st all-out strike by a

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group of doctors in NHS history took place. Then talks resumed and a deal

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was done between the BMA and the Government, in July BMA members

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rejected the new contract deal. Most

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hospitals in said they coped reasonably well the last time junior

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doctors staged full walk-outs back in April, but this time they don't

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have so long to draw up contingency plans and the industrial action will

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last five days, rather than two. Consultants will provide emergency

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cover but routine operations will be disrupted. One patient said her

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treatment was affected by previous strikes.

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It feels as though the junior doctors are taking very little heed

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of what the patients need, it is important that they themselves are

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satisfied with what they do, of course, but it is equally right that

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they should strike the right balance and not put patient well-being at

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jeopardy. Junior doctors won concessions on

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safety but the man still include more generous weekend pay allowance,

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more detail on how the Government plans to achieve a full seven-day

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NHS service, and more protection for women and part-time workers.

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We went into medicine to do a decent job, Day in, day out, of looking

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after patients. We can't do that it stretched too Finlay, if there are

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not enough to cover ons, to look after page on wards safely. Beyond

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the week in September there are no plans dates for further strikes,

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that the BMA has let it be known that industrial action will continue

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through the winter, if there is no resolution.

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It all sounds very familiar, both sides far apart. No hope of any

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talks. On the Government site Jeremy Hunt is making the case, the BMA is

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broadly similar. But the big change is the new Prime Minister. With the

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NHS under mounting financial pressure and missing key patient

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care targets, how she chooses to handle the dispute as winter draws

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in will be a big test for her. Thank you very much, Hugh Pym.

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The Italian coastguard says it has rescued some 2,000 migrants

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It brings the total number who've been picked up

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Ships carrying hundreds of those rescued earlier in the week have

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started arriving at ports across southern Italy,

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Many of the migrants are from Eritrea and Somalia.

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Our correspondent Ed Thomas reports now from the Sicilian port

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of Pozzallo, where he's been speaking to some

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More than 80 rescues, in four days, and the ports of southern

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This was Sardinia, an Irish navy ship brings in hundreds of men,

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In Sicily, another ship docks, again full of people.

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On the island of Lampedusa, the coastguard arrive

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with a reminder that this crisis isn't easing.

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These calm waters have given the desperate

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These men, women and children were picked up by the Italian navy.

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There's relief, but also exhaustion after a journey like no other.

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All they have are the clothes on their back.

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If you take a look at this group, they don't have any shoes.

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But these are the lucky ones because they've made it here.

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Nearly 3,000 have died in the crossing from Libya to Italy

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The sick are treated first - pictures taken, numbers given.

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It's hard to understand why anyone would do this.

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But then listen to Abel and Kelvin from Nigeria.

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People cut off people's head and people are being raped

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Both say they're running from Islamist extremists, Boko Haram.

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What would have happened to you if you'd stayed in Nigeria?

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To me, if I was in Nigeria by now I believe that I would die,

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Sakeeb is from Pakistan, he wants work, a home and security.

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Why should Europe, Italy, give you a job?

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It's a problem not to have a job in Pakistan, not have money.

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10,000 have crossed this route since Sunday.

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People from Somalia, Eritrea, the Middle East and Bangladesh.

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With the European fleet waiting off the Libyan coast,

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some fear it's made life too easy for the smugglers,

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exploiting those who'll gamble their lives to begin again.

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Cabinet ministers have spent the day at Chequers,

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the Prime Minister's country residence, discussing

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the options for Britain's exit from the European Union.

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They agreed that the UK should seek what they called a unique deal

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after leaving the EU by controlling immigration while retaining

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Theresa May insisted that there'd be no attempt to stay in

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the European Union by the back door, as our political correspondent

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After the passion and recriminations of the EU referendum,

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Theresa May chose the tranquil setting of her 16th Century country

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residence to gather her team and try to thrash out exactly

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She told ministers that there were many challenges ahead.

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We'll be looking at the next steps that we need to take,

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but we'll also be looking at the opportunities that are now

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open to us as we forge a new role for the UK in the world.

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The Prime Minister's made it clear she won't trigger Article 50

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until next year, that'll start formal negotiations.

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She said immigration needs to come down with controls on free movement

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and that could make it impossible for the UK to remain

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Since that momentous decision to leave the European Union,

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ministers have barely spoken publicly about what happens next

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Of course, they don't want to give away any negotiating position before

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talks even start, but Theresa May knows that even within her own party

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people have very different views about what the UK

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I want us now to deliver on what the people have voted for.

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They voted for Brexit and it's now up to the Brexiteers to come

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forward, with their vision, with their plans and

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Notably people like Boris Johnson, who promised us that we could

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continue to have access to the single market, free

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During the referendum the Leave side were accused of failing to give any

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details about life outside the EU, but one prominent campaigner

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I think if they can go ahead quickly, they should

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The only thing that takes time is if you're trying to negotiate

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some special trade deal for Britain with the European Union

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Therefore, we have to accept it's not possible, not waste

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Today, discussions about Brexit happened behind rather grand closed

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doors, but there's much more public scrutiny to come.

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Six teenagers have been arrested and bailed in connection

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with the death of a Polish man in Harlow in Essex.

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Arkadiusz Jozwik, who was 40, was left with fatal head injuries

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after what was believed to be an unprovoked attack

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Police haven't ruled out the possibility of it being a hate

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crime, but say they're still investigating.

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In south-east London a woman and a boy have died after a car

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being chased by police hit a group of pedestrians on a street in Penge.

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Three girls were also injured in the crash.

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Scotland Yard say the driver is now in custody and they've

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Our home affairs correspondent Tom Symonds reports.

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A man scrambles across a busy south London Road. He appears to stumble

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and then tip behind a bush. Onlookers point out to the pursuing

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officers. This man was one of them. Running as fast as he could come he

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just stumbled right over. He was very, very panicky. Then he started

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crawling in and is trying his best to get away.

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Eyewitnesses said that just around the corner, he had run off after

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crashing this black car following a pursuit by police. It appears to

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have swerved onto the pavement and into a woman and four children.

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Vanessa ran to help. A horrifying rescue attempt unfolded. When I got

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there there were five bodies underneath one car. Little kids

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screaming, like... People passing by, driving by. Trying to reach the

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car, realising there are two girls on the bonnet of the car. So they

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can't move the car. There were 20 guys around this one car, all

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lifting the car up and moving the car.

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Everyone came out. But despite her desperate attempts to resuscitate

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them, a middle-aged woman and a boy said by local people to be her

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nephew died. They were on their way to a nearby park.

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You just know that you've tried your best to save someone and they are no

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longer here, you heard their last words. Three girls trapped by the

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car were freed and taken to hospital. A 23-year-old man has been

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arrested. This started with a reported stolen car and a five

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minute chase through these residential busy streets, with cars

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parked on either side. All of which raises the risk, and police had to

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continually assess whether to keep the pursuit going. This will all be

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subject to an independent investigation now.

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Thank you, Tom Symonds. The Republican US presidential

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candidate, Donald Trump - who has described Mexican immigrants

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as drug dealers and rapists - made an unexpected trip to Mexico

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today to meet the country's president, and delivered

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a rather different message. He has previously also threatened to

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build a wall along the border. I happen to have a tremendous feeling

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for Mexican Americans, not only in terms of friendships but in terms of

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the number -- tremendous number that I employ in the United States, and

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they are amazing people, amazing people. Donald Trump speaking in

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Mexico, he will be speaking in Arizona later. The tone was very

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different, James Cook, was the message?

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I think it was. Certainly the tone was very significantly different, as

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you say. Here is a man who had previously not only accused

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immigrants of coming into the United States of being murderers, drug

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dealers and rapists, but going further than that and saying that

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the Mexicans were deliberately sending their worst people across

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the board into the US, which would seem like a fairly grim attack on

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the Government of Mexico. Nevertheless, the Mexican president

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invited Mr Trump to meet him, he has also invited the Democratic rival,

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Hillary Clinton. I think Donald Tart -- Trump is trying to put it, he is

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trailing Hillary Clinton in the polls, his forceful rhetoric has got

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into this stage, it helped him win the primaries. These fans queueing

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to see him love it, but the poll suggested will not win him the

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general election. And very belatedly, because it is just over

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two months away, he seems to be changing his mind and softening his

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rhetoric. He still says he wants to build a wall. The two site said they

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did not discuss it Mexico would pay for it but the chances seem slim.

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However, he is softening his rhetoric.

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The number of people sleeping rough in England has been steadily rising

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in the past few years, and according to analysis given

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to the BBC those people are increasingly likely to be

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Six years ago a third of people sleeping rough on the streets

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of London were considered to be in need of psychiatric support.

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But this year that figure has jumped to almost a half.

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In the first of two reports our social affairs correspondent,

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Michael Buchanan, examines a project in East London that tries to help

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those who find themselves at the margins of society.

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It is a 21st Century metropolis, a magnet for the mega-rich and home

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to some of the most marginalised people in our country.

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A young man lives in here - isolated, unco-operative.

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The team suspect he has psychiatric problems.

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Mental health nurse, Fatima Taylor, alongside outreach workers

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from the homeless charity, Thames Reach, paid for by the local

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Over three months we followed them as they travelled

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to the very edges of society, seeking out the most vulnerable.

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Tonight, a long-term rough sleeper is unwell and has called for help.

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As a city walks by oblivious, Fatima

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She suffers from a type of schizophrenia and wants her

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medication, but the man with her tries to pull her away.

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The woman fears she'll have no bed tonight if the man disappears.

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I can put you somewhere to sleep tonight.

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Put it in your mouth, put it in your mouth.

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A scuffle, a swallow and Fatima delivers the medication.

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It'll calm the woman within the hour.

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So she had to give me that bear hug to take her medication, so I managed

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Does it upset you, that kind of confrontation?

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It's a vulnerable situation for me as well, but you have to do

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what you need to do to help people like these.

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The outreach team have spotted a new rough sleeper.

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Hello, we're from the street outreach team, are you all right?

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His hidden shelter, far from anyone else, a key indicator of ill health.

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I can see him on the ledge there, all covered up.

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Psychiatric problems are both a cause and consequence

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So what you do is you help the most marginalised

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That they are alive and they really need services.

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People at the top say it's a lifestyle choice,

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that people make choices to sleep out here.

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Weeks later, Fatima and her colleagues return

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I don't have to justify myself to you or anyone else.

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Eventually, he comes out, but he's adamant he doesn't want any support.

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But if you don't talk to somebody, this might be it?

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Say, for example, I do stay here for the next 10

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If I'm allowed to do nothing, I'm not bothering anyone,

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The outreach team leave, relieved he has at

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A small victory in a deepening crisis.

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Michael Buchanan, BBC News, East London.

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Michael with his special report on the plight of those sleeping rough.

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We will have the second of his reports, developing that theme,

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tomorrow night. The results of early

:21:17.:21:25.

trials for a new treatment for Alzheimer's have been described

:21:26.:21:27.

as 'promising and exciting'. Researchers say that

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they're testing a drug which targets a protein linked

:21:30.:21:31.

to the development of Alzheimer's. But the findings, published

:21:32.:21:33.

in the journal Nature, need to be confirmed in larger

:21:34.:21:35.

studies before the drug can be Our health correspondent,

:21:36.:21:38.

Sophie Hutchinson, has more details. A brain devastated by Alzheimer's,

:21:39.:21:41.

the normal electrical pathways which transmit information become

:21:42.:21:43.

blocked with plaque, It's an incurable disease,

:21:44.:21:45.

but now a new drug being trialled And scientists at this centre

:21:46.:21:50.

in London, who are about to take part in the next stage of the trial,

:21:51.:21:57.

say it is exciting. If this is successful,

:21:58.:22:01.

if we can show improvement or delay in symptom progression in people

:22:02.:22:04.

with Alzheimer's disease, That changes everything

:22:05.:22:07.

about the way that we think about managing trials,

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managing treatments for people So what do we know about how

:22:12.:22:14.

effective this drug appears to be? These are the scans of patients

:22:15.:22:21.

at the start of the trial The red areas are a build-up

:22:22.:22:24.

of damaging, sticky proteins called beta-amyloid, characteristic

:22:25.:22:31.

of Alzheimer's patients. And look at the same four patient

:22:32.:22:34.

scans after a year of treatment. No change in the placebo patient,

:22:35.:22:38.

who didn't get the drugs, but the higher the dose,

:22:39.:22:47.

the less red you can see, Well, beta-amyloid causes problems

:22:48.:22:49.

because it builds up in clumps called plaques around

:22:50.:22:54.

the neurons in the brain, blocking the connections and causing

:22:55.:22:57.

them to die. The drug is thought to work

:22:58.:22:59.

by marking the plaques. This alerts the body's immune

:23:00.:23:03.

system, so that it can The drug is unlikely to repair

:23:04.:23:06.

actual damage to the brain, but the hope is it might stop

:23:07.:23:13.

the disease from progressing. That's something Susan

:23:14.:23:17.

Jonas would welcome. She underwent the painful experience

:23:18.:23:20.

of watching her mother's slow mental My friend who came every day,

:23:21.:23:23.

she found her one morning sitting on the sofa in front

:23:24.:23:31.

of the television, which wasn't But she was still dressed

:23:32.:23:34.

and it was 9.00am in the morning and she hadn't been to bed

:23:35.:23:39.

because she'd, sort of, forgotten. Alzheimer's research is littered

:23:40.:23:44.

with failed drugs that looked If successful, this drug would be

:23:45.:23:47.

the first treatment Police have confirmed that

:23:48.:23:52.

a body has been found at Didcot power station,

:23:53.:24:03.

six months after the partial The families of the three men

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missing since the collapse Contractors have stopped removing

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debris so that the body can The person has not yet been

:24:12.:24:15.

formally identified. In Brazil, the Senate has

:24:16.:24:24.

voted overwhelmingly to impeach the President,

:24:25.:24:26.

Dilma Rousseff. She's been found guilty of breaking

:24:27.:24:27.

the law by manipulating the budget figures to hide the extent

:24:28.:24:30.

of the country's deficit. She said the vote was a death

:24:31.:24:32.

penalty for democracy. Our correspondent, Wyre Davies,

:24:33.:24:35.

is in Brasilia tonight. Tell us about the significance,

:24:36.:24:46.

first, of the vote for Brazil and what's likely to happen next? Well,

:24:47.:24:54.

it's a huge vote for Brazil. The country's fist female elected

:24:55.:24:57.

President, Dilma Rousseff, dumped from office after a big vote in the

:24:58.:25:03.

Senate. She said on these trumped up charges that she illegally

:25:04.:25:05.

manipulated government accounts she said it's an assault on the

:25:06.:25:08.

country's relatively young democracy. Men of the men sitting in

:25:09.:25:13.

judgment against her are accused of more seerious crimes of corruption

:25:14.:25:18.

and personal enrichment. Dilma Rousseff is out of politics she

:25:19.:25:21.

could return in the future. That is unlikely. She has been replaced by

:25:22.:25:27.

the form er deputy from the centre-right party. He he has been

:25:28.:25:31.

sworn in and vowed to reform the economy. He has flown off to China

:25:32.:25:35.

tonight to the G20 summit. This is still a deeply divided country with

:25:36.:25:39.

many deep political and economic problems. Huw. OK, Wyre, thanks very

:25:40.:25:48.

much for bringing us up-to-date in Brasilia. Wyre Davies, our

:25:49.:25:49.

correspondent there. The number of elephants living

:25:50.:26:00.

in the wild in Africa has fallen drastically over the past decade

:26:01.:26:03.

and ivory poachers are mainly responsible, according

:26:04.:26:06.

to an Africa-wide survey extending from Mali, to Ethiopia

:26:07.:26:07.

and to South Africa. The survey concludes

:26:08.:26:09.

there are currently around 380,000 Botswana is home to more than 40%

:26:10.:26:11.

of the continent's elephants, but as our Africa correspondent,

:26:12.:26:15.

Alastair Leithead, reports Some viewers might find some

:26:16.:26:21.

of the images distressing. What other way to count

:26:22.:26:25.

a whole continent of For two years, they've been flying

:26:26.:26:27.

just 300 feet above Africa's savannah grasslands and,

:26:28.:26:34.

sadly, their findings paint This is the cost of the poachers

:26:35.:26:39.

and traffickers serving Asia's We've been flying along this

:26:40.:26:47.

floodplain that divides Namibia and Botswana and all the way along

:26:48.:26:55.

here we've been seeing carcasses of elephants,

:26:56.:26:58.

some four months old, Each year we are losing

:26:59.:26:59.

nearly 30,000 elephants. If this current rate continues,

:27:00.:27:09.

within nine years, Africa could be left with half of the current

:27:10.:27:13.

estimate of African elephants. Botswana has 40% of Africa's

:27:14.:27:18.

elephants, but amid the worst drought in decades they're under

:27:19.:27:21.

increasing pressure. The only way to protect them

:27:22.:27:24.

is to know how many they are and where they go,

:27:25.:27:28.

and that means tranquilizing some It takes just a few minutes

:27:29.:27:33.

for the drugs to take affect. They've got to be careful

:27:34.:27:53.

the trunk's not blocked. This elephant is about 50 years old,

:27:54.:27:55.

given the size and the fact that the collar has to be really big

:27:56.:27:58.

to get that GPS tracker They're trying to work as quickly

:27:59.:28:01.

as they can so they can get him This map illustrates

:28:02.:28:05.

the movements of five The tracking data shows how

:28:06.:28:12.

elephants, the dots, used to travel across five

:28:13.:28:15.

countries, but now Elephants clearly have a cognitive

:28:16.:28:19.

ability to understand where they are threatened

:28:20.:28:26.

and where they are safe. In this case, they're seeking refuge

:28:27.:28:28.

and sanctuary in Botswana. These carcasseses are proof

:28:29.:28:30.

that the last true sanctuary for Africa's elephants is,

:28:31.:28:33.

for the first time, now firmly Alistair Leithead,

:28:34.:28:36.

BBC News, Botswana. The Paralympic Games start a week

:28:37.:28:53.

today in Rio, Britain is sending This week we're talking

:28:54.:28:56.

to some of them about their Kadeena Cox is from Leeds and she's

:28:57.:28:59.

aiming to win medals in two different disciplines

:29:00.:29:03.

as a paralympian. Our disability correspondent,

:29:04.:29:05.

Nikki Fox, has been to meet her. Kadeena Cox is aiming to do

:29:06.:29:07.

something very few have achieved - win four gold medals,

:29:08.:29:13.

across two sports, cycling and athletics,

:29:14.:29:16.

in one Paralympic Games. Why did you choose to do two sports

:29:17.:29:20.

in the Paralympics? Yeah, I like to keep

:29:21.:29:23.

things exciting. I was doing quite well in both and,

:29:24.:29:25.

when it came to making a decision, I couldn't do it and I know that

:29:26.:29:29.

I might not necessarily be in this position in four years' time,

:29:30.:29:32.

so I thought I'd take COMMENTATOR: Cox is on the way,

:29:33.:29:34.

pretty much unchallenged. But she hasn't always competed

:29:35.:29:38.

in disability sport. Back in 2012, just four years ago,

:29:39.:29:40.

her dream was to compete Here she is racing in the 100 metres

:29:41.:29:44.

at the British University Championships, the first event held

:29:45.:29:50.

at London's Olympic Stadium. I was diagnosed with a stroke in May

:29:51.:29:55.

2014 and then with MS My body didn't quite do

:29:56.:30:01.

what I wanted it to do. It still doesn't, but it

:30:02.:30:11.

was a lot worse then. I really struggled going from being

:30:12.:30:14.

an 11 second runner to being ANNOUNCER: Representing Great

:30:15.:30:16.

Britain... She dealt with it, becoming

:30:17.:30:21.

World Champion in both sports. What's the difference

:30:22.:30:24.

between Kadeena the athlete Kadeena the athlete is supercool

:30:25.:30:26.

and looks supercool all the time. Whereas Kadeena at home

:30:27.:30:33.

falls over a lot. Multiple sclerosis fluctuates,

:30:34.:30:38.

which means Kadeena has This decides what category

:30:39.:30:41.

she'll compete in and, in the run-up to Rio,

:30:42.:30:48.

it's been changed The first time round it was changed

:30:49.:30:50.

the day before a competition, It was frustrating, so I spent

:30:51.:30:57.

the night upset, but I managed to pick myself up and go out and get

:30:58.:31:01.

the gold medal still. It's tough to deal with,

:31:02.:31:04.

but I just know it's my condition and I'm going to have to deal

:31:05.:31:07.

with it for a very long time. In Rio, she'll be in a tougher

:31:08.:31:11.

class, up against faster athletes. But this is not something that

:31:12.:31:14.

will faze Kadeena who, in just two years, could cross

:31:15.:31:17.

the line from Olympic hopeful Kadeena night we will Tomorrow talk

:31:18.:31:34.

to one of Britain's Paralympians just ahead of those Games.

:31:35.:31:36.

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