29/08/2017

:00:11. > :00:12.Hello it's Tuesday, it's 9.00, I'm Victoria Derbyshire,

:00:13. > :00:16.Our top story today - North Korea has fired a ballistic

:00:17. > :00:18.missile across northern Japan, sparking an air raid warning before

:00:19. > :00:31.There's been international outrage - we'll bring you the details.

:00:32. > :00:34.Also this morning - "Catastrophic" flooding in the US

:00:35. > :00:37.state of Texas is expected to worsen in coming days as waters

:00:38. > :00:41.rise following a storm of historic proportions.

:00:42. > :00:45.We have a two-storey home and on the first floor it's up

:00:46. > :00:51.to here and all the furniture is just floating, everything.

:00:52. > :00:55.We'll hear from some of those affected before 10.00.

:00:56. > :01:00.And - this programme has learnt that women are having hysterectomies

:01:01. > :01:03.to remove a controversial sterilisation implant that's used

:01:04. > :01:07.by the NHS because of severe pain it can cause.

:01:08. > :01:09.Nothing was stopping the pain, it was unbearable.

:01:10. > :01:14.I felt like I was a failure as a mother, that I was not

:01:15. > :01:22.the mum that I used to be, that I should be.

:01:23. > :01:25.The full exclusive report in around 15 minutes time.

:01:26. > :01:27.If you've been fitted with an essure device -

:01:28. > :01:44.really keen to hear your experiences this morning.

:01:45. > :01:46.Hello, welcome to the programme, we're live until 11.00.

:01:47. > :01:49.Throughout the morning we'll keep you up today with all the breaking

:01:50. > :01:51.news and developing stories and - as always - really

:01:52. > :01:55.A little later we'll meet to an eight-year-old girl injured up

:01:56. > :01:58.in the Manchester arena bombings who's been reunited with the police

:01:59. > :02:01.officer who rescued her and drove her to hospital.

:02:02. > :02:08.Lily Harrison and PC Cath Daley will join us

:02:09. > :02:17.Do get in touch on all the stories we're talking about this morning -

:02:18. > :02:20.use the hashtag Victoria live and If you text, you will be charged

:02:21. > :02:26.The United Nations Security Council is to hold an emergency

:02:27. > :02:28.meeting this afternoon, after North Korea fired a missile

:02:29. > :02:39.The missile flew over Hokkaido island before crashing into the sea.

:02:40. > :02:41.Japan's Prime Minister said the launch represented a serious

:02:42. > :02:45.Our correspondent, Yogita Limaye, reports from the South

:02:46. > :02:53.Japan being woken up by a siren on Tuesday morning as a North Korean

:02:54. > :02:58.The rocket was launched from near Pyongyang and it flew over

:02:59. > :03:00.the northern island of Hokkaido, before splitting into three

:03:01. > :03:07.parts and landing into the sea to the east.

:03:08. > :03:10.It is just the latest in a series of military missile tests conducted

:03:11. > :03:12.by North Korea this year, but a more serious one

:03:13. > :03:19.The last time that happened was nearly two decades ago.

:03:20. > :03:22."The outrageous act of firing a missile over our country

:03:23. > :03:26.is an unprecedented, serious and grave threat," Japanese

:03:27. > :03:37.At a US military base near Tokyo, a military drill was conducted

:03:38. > :03:40.by Japanese forces in response to the missile launch.

:03:41. > :03:42.Across the sea in South Korea, joint exercises are under way

:03:43. > :03:46.They are held every August, and North Korea usually responds

:03:47. > :03:55.Last year, it conducted a nuclear test in retaliation.

:03:56. > :04:02.This year, it has flown a missile that had the potential

:04:03. > :04:05.A strong message that despite international pressure,

:04:06. > :04:10.Our correspondent Yogita Limaye is in the South Korean

:04:11. > :04:27.South Korea have responded, what have they said? It has been a strong

:04:28. > :04:31.response. The military has been told to show overwhelming force against

:04:32. > :04:33.North Korea. South Korean fighter jets staged a live bombing drilled

:04:34. > :04:41.to attack the North Korean leadership. It was a strong response

:04:42. > :04:45.coming from here, especially as president moon has been advocating

:04:46. > :04:49.diplomacy and has said, he wants a peaceful resolution to this crisis.

:04:50. > :04:55.To hear this strong forceful language coming from him today,

:04:56. > :05:02.suddenly shows how seriously this escalation from North Korea is being

:05:03. > :05:06.treated in this country. The UN Security Council has increased

:05:07. > :05:11.sanctions on North Korea, what else can the international community do?

:05:12. > :05:17.This comes just a little over three weeks after the fresh UN sanctions

:05:18. > :05:21.were passed. They banned a major exports from the country. Even

:05:22. > :05:25.China, the top trade partner of North Korea had backed those

:05:26. > :05:30.sanctions and urged North Korea to stop missile tests. We are still to

:05:31. > :05:35.hear what China has to say about this latest launch. We have spoken

:05:36. > :05:38.to analysts here who say sanctions to work against North Korea and this

:05:39. > :05:45.is one more indicator it is not going to stop Pyongyang. Top

:05:46. > :05:49.military officers have spoken and they have said they will implement

:05:50. > :05:56.more military measures. But we don't know yet what that means and when it

:05:57. > :06:00.will happen. Thank you very much. Anthony on Facebook agrees with the

:06:01. > :06:05.analysts, political pressure won't work and nor will sanctions as Kim

:06:06. > :06:10.Jong-un won't allow himself to suffer. And this tweet says Kim

:06:11. > :06:14.Jong-un is playing Donald Trump and he is falling for it. There needs to

:06:15. > :06:17.be a de-escalation in the rhetoric. More to come on that in the morning.

:06:18. > :06:19.Annita is in the BBC Newsroom with a summary

:06:20. > :06:24.The 'catastrophic' flooding in Texas is expected to get much worse,

:06:25. > :06:25.with officials warning they expect nearly half-a-million

:06:26. > :06:28.With waters still rising, helicopters and hundreds

:06:29. > :06:30.of specialist vehicles have been deployed in the rescue effort.

:06:31. > :06:33.An emergency has also been declared in neighbouring Louisiana,

:06:34. > :06:43.Waiting for help to arrive as the floods reached new heights.

:06:44. > :06:46.All day, emergency responders, neighbours, and even complete

:06:47. > :06:49.strangers, have answered pleas for help from those

:06:50. > :07:07.We're trying to save our babies, that's it.

:07:08. > :07:11.Resources have been overwhelmed by the epic scale of this disaster.

:07:12. > :07:15.20 helicopters have been flying missions and the state's entire

:07:16. > :07:17.national guard has been deployed to aid in the search and rescue.

:07:18. > :07:23.Thousands have been saved but many more remain desperate.

:07:24. > :07:29.From midnight until where we are today, 290 have been rescued.

:07:30. > :07:32.We fully recognise that there are many other people out

:07:33. > :07:34.there in stressful situations and we intend to get

:07:35. > :07:39.Houston is struggling to stay afloat.

:07:40. > :07:41.Few parts of the sprawling metropolis have been spared

:07:42. > :07:44.from the rising waters and torrential rain.

:07:45. > :07:48.Every major highway has been affected and Harvey is straining

:07:49. > :07:52.It has been days since Harvey first made landfall.

:07:53. > :07:55.But communities here in Texas are just now

:07:56. > :08:00.And with even more rain forecast, authorities fear

:08:01. > :08:04.President Trump will travel to The Lone Star State today.

:08:05. > :08:07.He has promised rapid federal aid and Texas will need it.

:08:08. > :08:11.The state faces years of rebuilding and recovery in the wake of this

:08:12. > :08:20.An exclusive investigation for the Victoria Derbyshire

:08:21. > :08:22.programme reveals a sterilisation device called Essure can

:08:23. > :08:29.lead to complications requiring full hysterectomies.

:08:30. > :08:32.The sale of the implant - called Essure has just been

:08:33. > :08:37.temporarily suspended for "commercial reasons."

:08:38. > :08:39.The manufacturer and regulator say the device is safe and the benefits

:08:40. > :08:43.The number of uninsured drivers on British roads may be increasing

:08:44. > :08:46.for the first time in more than a decade according to new data

:08:47. > :08:52.The Motor Insurance Bureau, which processes claims by victims

:08:53. > :08:55.of uninsured drivers, say there was an increase of 10%

:08:56. > :09:12.That rise could suggest there are more uninsured drivers on UK roads.

:09:13. > :09:14.Brexit negotiations are continuing in Brussels after the EU told the UK

:09:15. > :09:16.it needed to get serious about the withdrawal talks.

:09:17. > :09:18.The EU's chief negotiator Michel Barnier has

:09:19. > :09:21.expressed concern about the lack of progress made so far and accused

:09:22. > :09:23.Britain of ambiguity on key issues like its exit bill.

:09:24. > :09:26.The UK Brexit Secretary David Davis said both sides had to show

:09:27. > :09:30.The source of a suspected chemical haze which drifted

:09:31. > :09:33.in from the sea yesterday in Sussex is still not known.

:09:34. > :09:36.Around 150 people were treated in hospital

:09:37. > :09:38.after reporting vomiting and irritation, and several beaches

:09:39. > :09:56.An investigation into the source of the haze is continuing.

:09:57. > :10:06.The British actor edge Green has pulled out of a programme. He said

:10:07. > :10:11.he didn't know the race of one of the characters he was playing so

:10:12. > :10:23.he's stepping down and the role can be cast appropriately.

:10:24. > :10:38.We will bring you the story on the Essure advice. If you are offered a

:10:39. > :10:43.hysterectomy after one of these, you will be offered a pelvic mesh. A lot

:10:44. > :10:47.of women don't realise they are suffering and it is down to the

:10:48. > :10:53.Essure divide. And this tweet says, when will they learn? Do not implant

:10:54. > :10:58.device that cannot be removed safely if things go wrong. More on that to

:10:59. > :11:00.come. Your experience is welcome and we will put them into the

:11:01. > :11:09.conversation. Johanna Konta is out of the US open?

:11:10. > :11:13.Yes, it has been a positive year and she made the semi final at

:11:14. > :11:20.Wimbledon, but a first round shock exit in New York this morning to the

:11:21. > :11:25.unseeded Serbian. She was seeded seventh and among the favourites.

:11:26. > :11:34.She could have finished as the world number one, if she did so. She won

:11:35. > :11:41.the first set, 6-4 and then the second and the third. She said it is

:11:42. > :11:47.just a tennis match, just sport. She has taken the defeat well. Heather

:11:48. > :11:52.Watson has gone now. Better news for Kyle Edmund and Andy Murray, pulled

:11:53. > :11:57.out of the US Open injured before it started. We should tell you quickly

:11:58. > :12:02.about a dramatic return to grand slam tennis for Maria Sharapova. She

:12:03. > :12:07.was serving doping suspension. 15 months she was out. She beat Simona

:12:08. > :12:13.Halep, so announcing herself back on the major stage in style. I think

:12:14. > :12:19.she cried. So relieved. Arsenal had a terrible time on Sunday and it

:12:20. > :12:22.looks like they set to lose Alex Oxlade-Chamberlain on.

:12:23. > :12:32.We'll be missing? Yes, he is one of their top players and we will from

:12:33. > :12:34.Ian Wright, but Arsene Wenger is in a sticky situation. The transfer

:12:35. > :12:44.window closes on Thursday night. He could lose his star player and Ozil

:12:45. > :12:48.is out of action. Alex Oxlade-Chamberlain, he arrived from

:12:49. > :12:53.Southampton six years ago. Has been a protege of Arsene Wenger. It is

:12:54. > :12:57.significant in a sense they will lose an England international,

:12:58. > :13:03.24-year-old. So much time ahead of him in the Premier League. Important

:13:04. > :13:07.time for Arsenal. What will happen over these next few days? They have

:13:08. > :13:13.lost two of their opening three games. I was at Anfield on Sunday

:13:14. > :13:18.and I was watching Alex Oxlade-Chamberlain, who looked

:13:19. > :13:21.completely disinterested and so did Alexis Sanchez. And Ian Wright has

:13:22. > :13:27.said the club is in crisis and Arsene Wenger has to go. Where do we

:13:28. > :13:34.stop. The amount of things going wrong. It does come back to Arsene

:13:35. > :13:40.Wenger's door. We are three games in and we are literally at crisis

:13:41. > :13:45.point. We are losing players. Why would Traxler sign Alex

:13:46. > :13:49.Oxlade-Chamberlain. When you say, do I think he should go? I would like

:13:50. > :13:54.him to go because I do not believe now that Arsene Wenger can motivate

:13:55. > :13:58.those players. With everything that is going on above him and the way

:13:59. > :14:03.the players are performing on the pitch, for him to turn this around

:14:04. > :14:09.for himself, for his own sanity. We are three games in and it is already

:14:10. > :14:15.an absolute nightmare. Strong words from Ian Wright. I want to show you

:14:16. > :14:22.this. This is Ousmane Dembele who has signed for Barcelona from

:14:23. > :14:29.Borussia Dortmund who has signed for 100 35mm hounds. The well's media

:14:30. > :14:35.are watching. My kids can do that. That is as bad

:14:36. > :14:39.as me and I am not worth ?135 million. The cricket, they need to

:14:40. > :14:44.bowl out the West Indies, it is the final day at Headingley to win the

:14:45. > :14:57.second test. The West Indies need 317 wins to run.

:14:58. > :14:59.Next - another exclusive investigation by this programme

:15:00. > :15:02.into a controversial device implanted in women.

:15:03. > :15:05.After our revelations earlier this year that 800 patients in the UK

:15:06. > :15:10.were suing the NHS manufacturers over vaginal mesh implants,

:15:11. > :15:16.this morning we're going to bring you news about a sterilisation

:15:17. > :15:20.It's a coil which is inserted into the fallopian tubes,

:15:21. > :15:26.allows women to be sterilised without needing surgery.

:15:27. > :15:28.BUT we've learned it can lead to complications and side-effects

:15:29. > :15:30.such as intense pain - leaving some women with

:15:31. > :15:33.no choice but to have surgery to get it out -

:15:34. > :15:35.including undergoing full hysterectomies.

:15:36. > :15:38.The sale of the implant - called Essure has just been

:15:39. > :15:41.temporarily suspended for "commercial reasons".

:15:42. > :15:44.The manufacturer and regulator say the device is safe and the benefits

:15:45. > :16:02.Our reporter Jean Mackenzie has this exclusive report.

:16:03. > :16:04.It felt like I was being stabbed repeatedly, over

:16:05. > :16:07.and over and there was this hot, burning pain.

:16:08. > :16:10.I felt like I was dying, there was something horribly wrong

:16:11. > :16:18.with me, something was slowly killing me from the inside.

:16:19. > :16:21.It is scary how something so small can cause much damage.

:16:22. > :16:34.This is essure, a device used to permanently sterilise women.

:16:35. > :16:39.The coils are inserted into the fallopian tubes to block them.

:16:40. > :16:45.Seen as revolutionary, the procedure does not require surgery.

:16:46. > :16:47.The device was sold to me on the understanding

:16:48. > :16:51.I would be in and out of the doctor's office

:16:52. > :16:58.That there would not be any recovery time.

:16:59. > :17:02.It had far less risks attached to it than traditional sterilisation.

:17:03. > :17:09.Approved for use on the NHS eight years ago, doctors promised women

:17:10. > :17:11.a quick and safe way to be sterilised.

:17:12. > :17:13.But this has not always been the case.

:17:14. > :17:16.Earlier this year we were contacted by women who told us that essure had

:17:17. > :17:21.Since then we have learnt that there have been major

:17:22. > :17:24.problems with the device, often women are not being told

:17:25. > :17:26.about the risks and sometimes they are needing total

:17:27. > :17:44.It literally felt like somebody was pumping blood out of me.

:17:45. > :17:48.I could feel it sitting down, standing up.

:17:49. > :17:53.The day after Emily's procedure things started to go wrong.

:17:54. > :18:00.The pain, I can remember it now, the sort of tummy ache that feels

:18:01. > :18:04.like somebody is on your insides and squishing everything.

:18:05. > :18:07.Emily's bleeding did not stop and doctors quickly had

:18:08. > :18:16.to remove her womb and fallopian tubes to get the implants out.

:18:17. > :18:23.The other was later found stuck in tissue surrounding her bowel

:18:24. > :18:29.When I go to the toilet the pain is there and I sometimes bleed

:18:30. > :18:46.Living in constant pain is really wearing.

:18:47. > :18:50.Me and Andy find it very difficult to be intimate together

:18:51. > :18:58.In regards to being a mum it stops me being a mum a lot

:18:59. > :19:03.Obviously they could be quite low down and that is really hard

:19:04. > :19:05.in every way, not just in the physical pain,

:19:06. > :19:09.but in the emotional as well because it is quite hard to not be

:19:10. > :19:15.able to be the mum that I want to be.

:19:16. > :19:20.The essure coils are made from nickel and small polyester fibres.

:19:21. > :19:22.The fibres are designed to trigger inflammation

:19:23. > :19:27.inside the fallopian tubes, causing scar tissue to build up

:19:28. > :19:31.which eventually blocks the tubes, sterilising the woman.

:19:32. > :19:35.But this has caused some women intense pain and others have reacted

:19:36. > :19:42.If you look at what it is made of, you start to get

:19:43. > :19:46.Carl Hennigan has been looking at the medical evidence surrounding

:19:47. > :19:54.10% of women are sensitive to nickel.

:19:55. > :19:57.There is an immediate problem, but it is also made of a compound

:19:58. > :20:00.which is present in this, PET, which, when you heat this

:20:01. > :20:02.bottle up, it will release compounds that are potentially

:20:03. > :20:09.That heating happens in the human body and when you do that,

:20:10. > :20:12.it starts to release compounds into your body that can have

:20:13. > :20:22.all sorts of problems that can lead to serious issues.

:20:23. > :20:25.I wake up feeling drugged, I wake up in pain, feeling

:20:26. > :20:27.like I haven't slept after a long sleep.

:20:28. > :20:36.I never feel like I have had enough sleep.

:20:37. > :20:39.The 25th of March, Monday, 2013, pain, wrists, knuckles, shoulders,

:20:40. > :20:44.particularly between shoulder blades, burning sensation.

:20:45. > :20:47.For years Victoria could not work out why she was so unwell and kept

:20:48. > :20:51.A dull thumping headache that radiates from the top of my spine.

:20:52. > :20:58.We need to eat as many as we can before here.

:20:59. > :21:04.What is the most unwell that you have felt?

:21:05. > :21:07.Moments of really feeling like I could not get out of bed

:21:08. > :21:21.and being in an incredible amount of pain and having to go to bed.

:21:22. > :21:23.It was debilitating, I had to be in bed,

:21:24. > :21:27.Underneath the duvet and painkillers and hide from the world.

:21:28. > :21:29.I felt like I was dying, there was something horribly,

:21:30. > :21:32.horribly wrong with me and I was going to die.

:21:33. > :21:34.Like I was being poisoned, something was slowly

:21:35. > :21:45.And how did you feel once you had had the surgery?

:21:46. > :21:53.I had experienced a horrible taste in my mouth for I could not tell

:21:54. > :21:58.you for how long leading up to that point, and it had gone.

:21:59. > :22:01.That came back, that stop falling out.

:22:02. > :22:03.Within 12 months it was just incredible.

:22:04. > :22:14.I was back to where I was before I had it done.

:22:15. > :22:17.The mistake that was made was they thought it was only

:22:18. > :22:19.going to be a localised inflammatory response just within

:22:20. > :22:27.This doctor removes essure from women in the US.

:22:28. > :22:30.He is now advising doctors here on the technique.

:22:31. > :22:32.Do you think there is a clear association between the symptoms

:22:33. > :22:34.that many of these women are complaining

:22:35. > :22:38.I do believe there is a clear association.

:22:39. > :22:41.When we removed the device in its entirety and do not leave

:22:42. > :22:44.any fragments behind, in 90% of the cases we are seeing

:22:45. > :22:53.the patients recovering within just a few hours or even a few days.

:22:54. > :22:55.While essure has worked well for many women,

:22:56. > :22:58.over the past few years thousands have come forward complaining

:22:59. > :23:01.A Facebook group here has more than 300 members,

:23:02. > :23:12.but a similar one in the US has more than 30,000.

:23:13. > :23:15.But it is impossible to know exactly how common problems are.

:23:16. > :23:17.The NHS cannot tell us how many women have been fitted

:23:18. > :23:20.with essure in the UK, or how many have had it removed.

:23:21. > :23:24.The other way to find out is through the body that

:23:25. > :23:30.We sent a Freedom of information request to them, asking how many

:23:31. > :23:32.women have reported problems with the device, but they refused

:23:33. > :23:35.to tell us on this was commercially sensitive information that may

:23:36. > :23:44.But we know that in the US more than 15,000 women

:23:45. > :23:49.These include pain, allergic reactions, and the coil is moving

:23:50. > :23:56.It is outrageous that they have to have journalists or the media

:23:57. > :23:59.tried to get access to this information.

:24:00. > :24:01.You should not even need to use a freedom of information request,

:24:02. > :24:04.it should be on the website because you and I, but particularly

:24:05. > :24:09.the women affected, should be able to look at this data.

:24:10. > :24:20.Many of the women we have spoken to were not warned about some

:24:21. > :24:23.For Laura who has an nickel allergy this would have

:24:24. > :24:29.I was left stuck with these things inside my body

:24:30. > :24:34.I went from being a mother that was doing everything

:24:35. > :24:37.with her children, managing brilliantly, putting

:24:38. > :24:40.carpets down, decorating, and taking the kids here,

:24:41. > :24:44.there and everywhere to a mum that spent most of her days in bed,

:24:45. > :24:46.unable to move without pain, basically being a shell of myself

:24:47. > :24:56.Did you really consider taking your own life?

:24:57. > :25:02.At one point when it was really bad, it seemed that even the painkillers

:25:03. > :25:06.they had me on, even morphine that I had to take home, it just

:25:07. > :25:19.I did not know, I felt like I was a failure as a mother,

:25:20. > :25:23.that I was not the mother that I used to be, that I should be,

:25:24. > :25:26.that I was a burden on everyone around me who was having to pick

:25:27. > :25:37.I really felt like I could not go on.

:25:38. > :25:45.I still have days where all of my joints hurt, I am still in pain.

:25:46. > :25:48.The damage they caused inside me for all of that time

:25:49. > :25:59.Here is what we have found out about the problems with essure.

:26:00. > :26:02.We have seen a letter sent by Cornwall Hospital in 2013 warning

:26:03. > :26:05.women who had had it figured that there had been

:26:06. > :26:16.In 2015, a robust study showed that women who had essure were ten times

:26:17. > :26:19.more likely to need follow up surgery than those who had had

:26:20. > :26:30.Researchers said this was a serious safety concern.

:26:31. > :26:34.We also got hold of a list of safety issues the NHS have had

:26:35. > :26:37.These include the device perforating the fallopian tube,

:26:38. > :26:39.moving around and attaching to the stomach lining, being

:26:40. > :26:51.So why are some hospitals are still using essure?

:26:52. > :26:54.Ben Peyton Jones used to implant the device until his hospital

:26:55. > :26:56.reduced the number of women they offer it to.

:26:57. > :26:59.Do you think that we should be using essure in the UK still has

:27:00. > :27:05.I think it has a place for women who cannot have a keyhole operation

:27:06. > :27:08.and they understand the risks and benefits of the

:27:09. > :27:19.I think if it is used correctly by the manufacturer's guidance

:27:20. > :27:25.and in trained hands, I think it is safe.

:27:26. > :27:27.Do you think with this procedure and with this device

:27:28. > :27:33.Would I suggest it is a procedure for my wife?

:27:34. > :27:36.I don't think I would because I think for her there

:27:37. > :27:39.are probably very suitable alternatives which have a better

:27:40. > :27:43.safety profile, but that is not to say that for some women

:27:44. > :27:49.they will feel that the perceived benefits for them outweigh any risks

:27:50. > :28:00.No one signed up for saying, you know what, give me ten out

:28:01. > :28:04.of ten level pain and make me have to have my uterus removed two

:28:05. > :28:09.That is outrageous, that is unacceptable and yet

:28:10. > :28:15.It is basically shame on every doctor who knows

:28:16. > :28:19.about essure who is not saying, this is something I cannot sign

:28:20. > :28:25.on with, I cannot continue to do it because of the risks to my patients.

:28:26. > :28:30.So how did this device get approved for use in the UK?

:28:31. > :28:33.The clinical trial evidence is so poor it is not even

:28:34. > :28:40.That trial should have followed women up for five years.

:28:41. > :28:42.But they only followed them up for one year,

:28:43. > :28:45.so in effect nobody has got real understanding of what happens at two

:28:46. > :28:48.Seriously, there is insufficient evidence to use this device

:28:49. > :28:52.on the market right now, so it should be withdrawn.

:28:53. > :28:55.Do we need to be worried about other devices?

:28:56. > :29:00.We should be particularly worried about what is called

:29:01. > :29:03.Anything that you put inside of your body you want to know

:29:04. > :29:09.When you look at the evidence that is used for devices

:29:10. > :29:11.across the board at this level, it is inferior.

:29:12. > :29:14.That says to me there is something inherently wrong in how

:29:15. > :29:18.we think about devices, in how we regulate them.

:29:19. > :29:21.Like vaginal meshes which we investigated earlier this year,

:29:22. > :29:23.you have a device that women are complaining about

:29:24. > :29:28.and yet again they feel they are not being listened to.

:29:29. > :29:31.It is clear that there are some risks associated with essure,

:29:32. > :29:34.and yet in the years since these have started to emerge very

:29:35. > :29:41.little has been done to inform or protect women.

:29:42. > :29:45.Last year, the American regulator ordered the manufacturer, Bayer,

:29:46. > :29:48.to carry out long-term testing on essure.

:29:49. > :29:51.It also forced them to put a warning on its box,

:29:52. > :30:03."Some patients implanted with essure have experienced perforation

:30:04. > :30:08.The inserts have been found in the abdominal or pelvic cavity.

:30:09. > :30:11.Patients have reported persistent pain and suspected allergic

:30:12. > :30:25.It then goes on to say, "if the device needs to be removed,

:30:26. > :30:27.theN a surgical procedure will be required."

:30:28. > :30:29.If you had been told about these risks, would you have

:30:30. > :30:36.Absolutely no way at all, especially the part with the nickel.

:30:37. > :30:46.Why would anyone put themselves at that risk for contraception?

:30:47. > :30:51.Earlier this month the sale of essure implants was suspended

:30:52. > :30:57.The manufacturer has asked hospitals not to use their existing

:30:58. > :30:59.stock during this time, but the regulator has left it up

:31:00. > :31:04.Both Bayer and the NHRA stress that this product is safe

:31:05. > :31:11.and that the majority of women experience no side effects.

:31:12. > :31:14.No one is listening to us, there are many women coming forward,

:31:15. > :31:18.approaching their GPs, going back to the implanting doctors

:31:19. > :31:21.saying that I am unwell, I have been unwell since I had this product.

:31:22. > :31:27.How much evidence do you want to be in a position where you go,

:31:28. > :31:38.I wish that I could go back all them years and say, don't do it,

:31:39. > :31:47.I wish I had never had it put inside me or lived through things

:31:48. > :31:50.that nobody should ever have to live through.

:31:51. > :31:54.Nobody should go through what I went through and yet there are so many

:31:55. > :32:21.You can read all about our story on the BBC news site. Janus says, it

:32:22. > :32:25.amazes me we implant stuff in our bodies when we are sensitive to the

:32:26. > :32:32.things they are made of. And Laura says I am left with permanent

:32:33. > :32:35.debilitating issues from Essure. I am so glad our voices are being

:32:36. > :32:37.heard and awareness raised for all that suffering.

:32:38. > :32:39.We asked the manufacturer and the regulator to appear

:32:40. > :32:42.Instead they gave us this length statement :

:32:43. > :32:45."We would like to emphasise that recent independent expert reviews

:32:46. > :32:47.of Essure carried out by medical devices safety authorities have each

:32:48. > :32:57.addressed the safety of Essure in detail and have each concluded

:32:58. > :32:59.that Essure has a positive benefit/risk profile.

:33:00. > :33:02.This means that they consider Essure is safe enough and also that it

:33:03. > :33:06.Many women with Essure rely on this form of contraception

:33:07. > :33:09."Bayer encourages any women with questions to speak

:33:10. > :33:14.It says "Patient safety and the appropriate use of Essure

:33:15. > :33:17.are the greatest priorities, and the company fully

:33:18. > :33:20.stands behind Essure as an appropriate choice for women

:33:21. > :33:26.Women who currently have Essure in place can continue to feel

:33:27. > :33:32.They were also keen to stress that their request to hospitals not

:33:33. > :33:35.to use their existing stock is a voluntary request,

:33:36. > :33:39.and hospitals can make their own decisions.

:33:40. > :33:43.The MHRA told us during the making of this film that they "had no

:33:44. > :33:46.evidence to suggest this device was unsafe".

:33:47. > :33:52.With regards to the recent suspension, they told us this

:33:53. > :33:55.did not suggest an increased risk to patient safety.

:33:56. > :33:57.They said "patient safety is our highest priority

:33:58. > :34:01.and we encourage the reporting of any adverse incidents

:34:02. > :34:04.with medical devices to MHRA regardless of how long ago

:34:05. > :34:08."It is important that the patient and their health care professional

:34:09. > :34:21.discuss the risks involved in the procedure"

:34:22. > :34:28.We would talk about this after ten a:m.. Get in touch in the usual

:34:29. > :34:29.ways. We will be talking about the hurricane.

:34:30. > :34:32."It was like nothing we've ever seen"

:34:33. > :34:34.We hear the stories of people caught up

:34:35. > :34:39.Reunited: We speak to an 8 year old girl caught up in the Manchester

:34:40. > :34:47.arena bombings and the police officer who rescued her.

:34:48. > :34:55.Here's Annita in the BBC Newsroom with a summary of todays news.

:34:56. > :35:01.The United Nations Security Council is to hold an emergency meeting this

:35:02. > :35:04.afternoon after North Korea fired a ballistic missile over northern

:35:05. > :35:09.Japan. The missile, which fell into the sea triggered loudspeaker alerts

:35:10. > :35:16.warning people on the island of Hokkaido, to take cover. Japan's

:35:17. > :35:19.Prime Minister said it poses a serious threat to his nation. Boris

:35:20. > :35:21.Johnson says he is outraged. The 'catastrophic' flooding in Texas

:35:22. > :35:24.is expected to get much worse, with officials warning they expect

:35:25. > :35:26.nearly half-a-million With waters still rising,

:35:27. > :35:31.helicopters and hundreds of specialist vehicles have been

:35:32. > :35:33.deployed in the rescue effort. An emergency has also been declared

:35:34. > :35:35.in neighbouring Louisiana, The number of uninsured drivers

:35:36. > :35:48.on British roads may be increasing for the first time in more

:35:49. > :35:51.than a decade according to new data The Motor Insurance Bureau,

:35:52. > :35:54.which processes claims by victims of uninsured drivers,

:35:55. > :35:56.say there was an increase of 10% That rise could suggest

:35:57. > :36:00.there are more uninsured That's a summary of the latest BBC

:36:01. > :36:25.News - more at 10.00 And now the sport. Johanna Konta

:36:26. > :36:29.suffered a shock first-round defeat in US open. She could have ended the

:36:30. > :36:37.tournament as the world number one. There was a stunning return to grand

:36:38. > :36:42.slam tennis for Maria Sharapova who knocked out Simona Halep after her

:36:43. > :36:47.15 month doping suspension. Alex Oxlade-Chamberlain is on the verge

:36:48. > :36:50.of joining Chelsea. A fee has been reported for the England

:36:51. > :36:55.international who is out of contract at the Emirates next summer and he

:36:56. > :37:05.has refused to sign a new deal. England's cricketers need to bowl

:37:06. > :37:09.out the West Indies at Headingley. The West Indies need 317 runs to win

:37:10. > :37:14.on the final day, which gets underway in an hour and a half.

:37:15. > :37:16.Moorfield at 10:30 a:m., we will see you then.

:37:17. > :37:20."Catastrophic" flooding in the US state of Texas is expected

:37:21. > :37:23.to worsen in coming days as waters rise following a storm

:37:24. > :37:27.Much of Houston - one of the largest American cities -

:37:28. > :37:30.is under water and millions of people are still there -

:37:31. > :37:33.either trapped or unwilling to leave vulnerable homes.

:37:34. > :37:35.Officials in Texas estimate around 450-thousand people will need

:37:36. > :37:43.help because of flooding from Tropical Storm Harvey.

:37:44. > :37:45.Some 30,000 residents are likely to require emergency shelter.

:37:46. > :37:51.President Trump's heading to the region today.

:37:52. > :38:05.The rain is pounding numbers and the wind gusts makes it difficult to

:38:06. > :38:11.stay standing. It appears to be one of the worst floods Houston has ever

:38:12. > :38:16.had. We are measuring it not in inches, but in feet. We will get to

:38:17. > :38:30.you, I ask you to remain calm, remain a little patient. This likely

:38:31. > :38:38.is going to be a historic rainfall, if not, all-time record. Right now,

:38:39. > :38:40.my apartment complex is surrounded by water. We couldn't leave, even if

:38:41. > :39:04.we wanted to. Flooding has taken place wherever

:39:05. > :39:17.there are rivers in the Houston area. They are the ones, at this

:39:18. > :39:30.moment, in dire need of rescue. They are rescuing people in their 90s. It

:39:31. > :39:43.is very overwhelming, they have got to walk her across the street.

:39:44. > :39:56.Within ten to 15 minutes, the water went from ankle high up to waist

:39:57. > :40:03.high. They were under water. Here is the alligator moving along. It is

:40:04. > :40:12.taking its time. Now it looks like there is not only him, but now him!

:40:13. > :40:16.We have received over 2000 phone calls throughout the greater Houston

:40:17. > :40:31.metropolitan area, requesting assistance.

:40:32. > :40:33.The US President, Donald Trump, made an announcement last night,

:40:34. > :40:36.saying the government was "100% with the people of Texas

:40:37. > :40:39.and Louisiana" and they were part of "one American family that hurts

:40:40. > :40:45.together, struggles together, and endures together".

:40:46. > :40:50.Nothing can defeat the unbreakable spirit of the people

:40:51. > :40:55.Right now every American heart sends its love and support to those

:40:56. > :40:57.whose lives have been upended, totally upended, totally,

:40:58. > :41:08.We ask God for his wisdom and strength, we will get

:41:09. > :41:12.through this, we will come out stronger and, believe me,

:41:13. > :41:17.we will be bigger, better, stronger than ever before.

:41:18. > :41:21.The rebuilding will begin and in the end it will be

:41:22. > :41:27.Let's talk now to some of those affected.

:41:28. > :41:30.Pastor Arron Sanders from a local church set up a shelter

:41:31. > :41:33.when Red Cross facilities became overwhelmed, Mayoore De Vries

:41:34. > :41:35.lives in Houston near the heart of the worst affected districts,

:41:36. > :41:38.and Richard Martin lives on the third floor of an apartment

:41:39. > :41:55.Thank you for giving us your time today. Pastor, who are you looking

:41:56. > :42:00.after? There is nowhere for people to go as they came in from the

:42:01. > :42:07.storm. They were dripping wet and lost everything. The community

:42:08. > :42:12.organically organised three shelters in a matter of hours. Local schools

:42:13. > :42:16.opened up the cafeterias, churches came together with nonprofits and

:42:17. > :42:21.the city government and it was amazing to see the response. What

:42:22. > :42:28.kind of things are people saying to you about what they have lost in the

:42:29. > :42:34.floods? They are just in shock, to wake up and sea water in your home

:42:35. > :42:38.and to try to wait it out and be rescued, sometimes by helicopter, by

:42:39. > :42:44.boat. To have lost everything. Some of them are just looking for loved

:42:45. > :42:50.ones and friends and relatives and haven't been able to be in touch

:42:51. > :42:57.with them. They are in a desperate state. Richard, how stressful has it

:42:58. > :43:02.been? It hasn't been a stressful for me because I haven't had any water

:43:03. > :43:06.in my apartment but I live about a quarter of a mile from the central

:43:07. > :43:11.Business District and probably half a mile from one of the largest

:43:12. > :43:18.systems to the downtown area which has suffered some of the heaviest

:43:19. > :43:26.flooding. What is the situation like now? Today was very blustery, very

:43:27. > :43:32.windy. Raining. It has stopped a bit now, but the storm has gone back out

:43:33. > :43:36.into the Gulf and is coming back up through Houston and Louisiana

:43:37. > :43:41.tomorrow. More rain is expected, I think another eight to 15 inches.

:43:42. > :43:45.Thank you for talking to us, we wish you all the best.

:43:46. > :43:49.We hear from a woman who was left suicidal

:43:50. > :43:55.after using the sterilisation device Essure.

:43:56. > :43:58.Next this morning, we speak to an eight-year-old girl

:43:59. > :44:00.caught up in the Manchester arena bombings who's been reunited

:44:01. > :44:03.with the police officer who rescued her and drove her to hospital.

:44:04. > :44:06.Lily Harrison suffered a shrapnel wound and a bruised lung

:44:07. > :44:11.in the blast at the Arianne Grande concert which killed 22 people.

:44:12. > :44:19.PC Cath Daley saw Lily's parents crouched around their unconscious

:44:20. > :44:25.daughter and decided they could not wait for an ambulance so drove

:44:26. > :44:29.She was reunited with Lily and her mother as part

:44:30. > :45:01.OK? You OK? Good to see you. Lily is very excited to see you. Come

:45:02. > :45:12.through. Thank you. Hello, Lily. How are you? Good to see you again. Are

:45:13. > :45:18.you better? Yes. Good, what are you doing? Making a card for you. That

:45:19. > :45:27.is very nice of you, it is great to see you. Do I get a kiss? Yes. We

:45:28. > :45:32.are very grateful, without you getting us there, it could have been

:45:33. > :45:39.a completely different situation. She has recovered so quickly and you

:45:40. > :45:43.can see what she is like now. Then I think, we don't know how to thank

:45:44. > :45:55.you because you say, I was just doing my job...

:45:56. > :46:04.We just don't know how to say thank you. You have said it, you don't

:46:05. > :46:11.need to say any more. Just seeing you guys here today is all the

:46:12. > :46:20.thanks I need, honestly. Really. Is that for me? Thank you very much.

:46:21. > :46:25.Thank you. Do I get a hug. Thank you, Lily. Thanks very much.

:46:26. > :46:28.Lily Harrison, her mum Lauren Thorpe and PC Cath Daley

:46:29. > :46:43.How are you? You look so well. How has it been recovering? Fun. Why do

:46:44. > :46:52.you say that? I get to do things I could not do before. Like what? Like

:46:53. > :47:00.I could not do handstands against the wall. You can do that now? With

:47:01. > :47:11.help from my mum and dad. We have made her a nice and strong. That is

:47:12. > :47:13.a remarkable recovery. What do you recall from that night? I understand

:47:14. > :47:26.you were 15 feet away from the bomber. Ariana had just finished,

:47:27. > :47:31.Lily was really tired. It was a school night. We tried to leave

:47:32. > :47:42.quite quickly. We came out of the arena and into the room where the

:47:43. > :47:51.bomb went off. We went past the box office and that is when it went off.

:47:52. > :48:01.It was a little bit of a blur. We could see it in our peripheral. I

:48:02. > :48:17.remember seeing Lily on the floor. She had made a sign she was holding

:48:18. > :48:23.at the concert. He picked Lily up like a rugby ball and said, let's

:48:24. > :48:31.go. We headed for the exit. I remember shouting, my leg. I could

:48:32. > :48:37.feel less pain in my leg. It was covered in blood. I did not know

:48:38. > :48:43.what it was. We carried on running down the stairs. Someone stopped in

:48:44. > :48:49.front of Adam, he fell over this person, this person fell with Lily

:48:50. > :48:52.and I fell over them. We tried to get up as quickly as we could.

:48:53. > :48:59.Obviously there were people coming behind us. We hurried up as quickly

:49:00. > :49:11.as we could. Adam picked her up and then he could feel this hall in her

:49:12. > :49:16.back. She said, I don't feel well. We were not in the rush of people in

:49:17. > :49:19.the car park. Adam brought her down and she was unconscious. So we lay

:49:20. > :49:26.her down so we could see what was going on. She just wasn't waking up.

:49:27. > :49:34.We looked at each other as if to say, this is it. She has gone. We

:49:35. > :49:39.did not know what to do with ourselves. We stood there feeling

:49:40. > :49:45.helpless. Eventually she started to come back around. It was kind of

:49:46. > :49:50.such a huge relief because we had gone from rock bottom to then she

:49:51. > :49:57.was awake, so even though she had this injury to her back she was

:49:58. > :50:03.still with us. We lifted her jacket up and had a look, that is when we

:50:04. > :50:07.saw that she had a big hole in her back. Luckily there was a doctor

:50:08. > :50:16.picking up someone from the arena, she came over with another police

:50:17. > :50:33.officer. Realised Lily was not breathing properly. That is where

:50:34. > :50:41.came in. What did you think when you came across them? When I arrived, as

:50:42. > :50:45.you can imagine, it was utter chaos. We got into the car park and I saw

:50:46. > :50:50.the Sergeant treating Lily. Had a brief conversation with him in

:50:51. > :50:53.relation to Lily's breathing. There was a possibility that her lung

:50:54. > :51:00.could have been punctured as a result of the shrapnel. I was

:51:01. > :51:06.acutely aware that it may be some time before we got any medics to

:51:07. > :51:10.where we were. The information we had been given was the other side of

:51:11. > :51:15.the arena. The vehicle I'd arrived and was a short distance away so we

:51:16. > :51:19.made the decision I would get her to hospital as soon as possible in the

:51:20. > :51:27.police vehicle. That's what we did. My colleague picked up Lily, we got

:51:28. > :51:42.her into the police van, sat you on your dad's knee, and we got her the

:51:43. > :51:46.treatment that she needed. You made the right decision. So you've been

:51:47. > :51:56.treated by all these clever doctors, look at you now? It is amazing,

:51:57. > :52:07.isn't it? It is an amazing story when you think about what could have

:52:08. > :52:15.been. Just the recovery, she could not move her head for the first

:52:16. > :52:22.couple of days. Within a couple of days, she was getting better and

:52:23. > :52:29.better. Children are so resilient. She went from staring into space and

:52:30. > :52:41.not moving, all the doctors gave her incentives to get moving again. Did

:52:42. > :53:02.you get to meet Ariana? Yes! And mummy and daddy. Especially daddy.

:53:03. > :53:09.What did she say to you? She said she could get a magazine for me so

:53:10. > :53:15.now I've got that framed in my bedroom. Have you? Obviously meant a

:53:16. > :53:27.lot to the little children in hospital. It was such a left. We

:53:28. > :53:35.phoned a package near the hospital. Then she turned up anyway. Once we

:53:36. > :53:48.heard she was there, everyone was so excited. There was no others crying.

:53:49. > :53:54.She was great, wasn't she? She had loads of pictures with you. Had so

:53:55. > :54:00.much time to chat to everyone. They were brilliant. They found out we

:54:01. > :54:12.did not have tickets for the concert. The hospital sorted that

:54:13. > :54:19.out. What would you say to Cath, this wonderful lady? Thank you. It

:54:20. > :54:33.almost does not seem big enough but that is it. It is just that.

:54:34. > :54:36.Full-stop as you see in the documentary, seeing them here,

:54:37. > :54:42.picture of health, that is enough thanks that I and my colleagues in

:54:43. > :54:46.need. How long have you been in the Force? Nearly 25 years. I've never

:54:47. > :54:56.seen anything like we saw that night. It was human devastation. You

:54:57. > :55:03.were presumably in the force when the IRA bomb hit Manchester.

:55:04. > :55:07.Astonishingly, no loss of life then. That is right, yes. Buy-8-mac

:55:08. > :55:17.devastating. Thank you, all of you, thank you so much. Are you nearly

:55:18. > :55:22.fully recovered as well? Nearly there. Hopefully not long. It

:55:23. > :55:29.doesn't look very nice! The first time I saw it, when it was not all

:55:30. > :55:35.like it is now, I started crying. I'm not surprised. Thank you, all of

:55:36. > :55:44.you. Very much. Continue to get well. Thank you. You can see the

:55:45. > :55:51.full documentary on ITV tonight at 9pm. Let me bring you this news.

:55:52. > :56:01.Devon and Cornwall police say they were notified yesterday of reports

:56:02. > :56:04.of a missing four-year-old boy at an activity centre in Bedford. The

:56:05. > :56:16.police said following an extensive search, the child has been located.

:56:17. > :56:25.Very sadly, he was pronounced dead. The next of kin have been informed.

:56:26. > :56:28.Police enquiries continue. We will bring you the latest news and sport

:56:29. > :56:34.in a few moments. Before that here is the weather.

:56:35. > :56:38.We've been seeing pictures of tropical storm Harvey and this is

:56:39. > :56:48.how much rainfall we still have from the tropical storm. Half of it is

:56:49. > :56:55.onshore. It is picking up the energy and depositing it. Reports show that

:56:56. > :57:03.we've had roamed about a metre of rainfall so far. By the end of

:57:04. > :57:09.tomorrow it could be 1.5 metres. Through the course of tomorrow it

:57:10. > :57:19.will drift northwards and eastwards. The amount of rain will slowly ease.

:57:20. > :57:30.It could worsen across Louisiana and Mississippi. Back home we've got

:57:31. > :57:38.different weather. We've got a weather front drifting southwards.

:57:39. > :57:41.The cloud is being taken with it. It'll be a fairly breezy day ahead

:57:42. > :57:48.and we'd have a mixture of sunshine and showers. As that weather front

:57:49. > :57:58.sinks sofa at it will brighten up. The cloud will move across. Part of

:57:59. > :58:06.the South East are hanging on. It could reach 27 or 28. The dry

:58:07. > :58:13.weather with sunny intervals, the Sun coming out across Wales. For

:58:14. > :58:26.Cheshire into Cumbria and Lancashire, bright afternoon. There

:58:27. > :58:37.will be a peppering of showers. Many of us will have a dry day with some

:58:38. > :58:43.sunny skies. Through this evening and overnight, if anything it will

:58:44. > :58:48.rejuvenate and we will see heavy showers clipping the South East. At

:58:49. > :59:01.the same time we've got a band of rain coming in. For Scotland and

:59:02. > :59:11.Northern Ireland, another breezy day. The two bands of rain are

:59:12. > :59:22.trying to merge. Couple that with the northerly wind. It will feel

:59:23. > :59:29.colder. We will have a good 10 degrees drop in temperature. A quick

:59:30. > :59:34.look at Thursday. Showers feeding in from the West.

:59:35. > :59:46.Hello it's Tuesday, it's 10.00am, I'm Victoria Derbyshire.

:59:47. > :59:52.Japan's Prime Minister says the release of a ballistic missile over

:59:53. > :59:57.his country says it is a threat. It isn't immediately clear when it's

:59:58. > :00:01.launched if it is flying over Japan or towards Japan and my land in

:00:02. > :00:02.Japan. Warning sirens went off on local people were told to take

:00:03. > :00:05.cover. The United Nations Security Council

:00:06. > :00:08.is to hold an emergency We'll be talking to eyewitnesses

:00:09. > :00:12.in Northern Japan about what it was In an exclusive to this programme

:00:13. > :00:16.we'll be speaking to women who have had to undergo surgery

:00:17. > :00:18.to remove a controversial sterilisation implant,

:00:19. > :00:32.used by the NHS, after they were I felt like I was dying, something

:00:33. > :00:36.horribly, horribly wrong with me and I was going to die. Like I was being

:00:37. > :00:45.poisoned and something slowly killing me from the outside.

:00:46. > :00:48.We'll be speaking to a doctor who fits the device and woman

:00:49. > :00:51.who is due to have a hysterectomy after having an implant fitted.

:00:52. > :00:54.The deadline for "free childcare" for three and four year olds

:00:55. > :00:59.From this Friday mums and dads can claim up to 30 hours -charities have

:01:00. > :01:01.argued that the govermental scheme hasn't been funded properly.

:01:02. > :01:06.Your experience is welcome, as always.

:01:07. > :01:10.Here's Annita in the BBC Newsroom with a summary of todays news.

:01:11. > :01:13.The United Nations Security Council is to hold an emergency

:01:14. > :01:16.meeting this afternoon, after North Korea fired a ballistic

:01:17. > :01:21.The missile, which fell into the sea, triggered loudspeaker

:01:22. > :01:24.alerts warning people on the island of Hokkaido to take cover.

:01:25. > :01:27.Japan's Prime Minister said the launch represented a serious

:01:28. > :01:34.The US disarmament ambassador called the test a 'provocation.'

:01:35. > :01:37.The "catastrophic" flooding in Texas is expected to get much worse,

:01:38. > :01:39.with officials warning they expect nearly half-a-million

:01:40. > :01:46.With waters still rising, helicopters and hundreds

:01:47. > :01:50.of specialist vehicles have been deployed in the rescue effort.

:01:51. > :01:52.An emergency has also been declared in neighbouring Louisiana,

:01:53. > :02:12.A four-year-old boy has been found dead in a swimming pool in Devon.

:02:13. > :02:17.The police were called about a missing boy in Bedford. After a

:02:18. > :02:21.surge by the helicopter, the child was found in a swimming pool where

:02:22. > :02:27.he was taken to hospital and pronounced dead. The boy's kin have

:02:28. > :02:30.been informed and enquiries are continuing.

:02:31. > :02:32.An exclusive investigation for the Victoria Derbyshire

:02:33. > :02:33.programme has revealed a sterilisation device called Essure

:02:34. > :02:36.can lead to complications requiring full hysterectomies.

:02:37. > :02:39.The sale of the implant has just been temporarily suspended

:02:40. > :02:42.The manufacturer and regulator say the device is safe and the benefits

:02:43. > :02:47.The number of uninsured drivers on British roads may be increasing

:02:48. > :02:50.for the first time in more than a decade according to new data

:02:51. > :02:55.The Motor Insurance Bureau, which processes claims by victims

:02:56. > :02:58.of uninsured drivers, say there was an increase of 10%

:02:59. > :03:02.That rise could suggest that there are more uninsured people

:03:03. > :03:13.That's a summary of the latest BBC News - more at 10.30.

:03:14. > :03:15.Do get in touch with us throughout the morning -

:03:16. > :03:19.use the hashtag Victoria live and If you text, you will be charged

:03:20. > :03:36.Marjorie on Facebook has got in touch about the essure report. She

:03:37. > :03:39.says I was sterilised in 1980, and then three years later I had to have

:03:40. > :03:45.a hysterectomy. For those three years I had to have -- I was in

:03:46. > :03:51.constant pain and I still haven't had any answer as to where those

:03:52. > :03:53.metal clips had gone to. David says, how can the NHS justify the use of

:03:54. > :03:56.this device. Thank you for those. Johanna Konta's wait for a maiden

:03:57. > :04:02.tennis Grand Slam continues, the British number one's been

:04:03. > :04:04.knocked out in the first round of the US Open,

:04:05. > :04:06.losing to the unseeded Konta was among the favourites

:04:07. > :04:10.for the title and could have ended Konta took the first set,

:04:11. > :04:15.but the world number 78 fought back to leave Konta still looking

:04:16. > :04:29.for that elusive first It would be quite obnoxious of me to

:04:30. > :04:35.come in here expecting that I have a right to be in the second week. I am

:04:36. > :04:39.very much aware for me to have that opportunity, I need to work very

:04:40. > :04:45.hard. For me losing in the first round, it's obviously not ideal, as

:04:46. > :04:50.it isn't anybody. I think everybody coming here wants to be in as long

:04:51. > :04:51.as possible. I lost to the better player today and that is how sport

:04:52. > :04:55.goes. There was a successful return

:04:56. > :04:57.to Grand Slam tennis for Maria Sharapova following her 15

:04:58. > :04:59.month doping ban. The Russian beat world number two

:05:00. > :05:02.Simona Halep in three sets. Sharapova was given a wild card

:05:03. > :05:04.to enter the main draw. She's currently ranked

:05:05. > :05:15.146th in the world. We have just completed so well

:05:16. > :05:20.against each other in the past and have produced some really good

:05:21. > :05:24.tennis. Despite not playing a lot of matches coming into this, it almost

:05:25. > :05:29.seemed like I had no right to win this match today. I somehow did. I

:05:30. > :05:31.think that is what I am most proud of.

:05:32. > :05:34.Heather Watson's poor run at Flushing Meadows continues.

:05:35. > :05:36.The British number two was knocked out by Alizay

:05:37. > :05:40.It's the seventh successive year Watson has gone out

:05:41. > :05:45.A better day for Britain's men though.

:05:46. > :05:48.Kyle Edmund won his first round match against Robin

:05:49. > :05:53.He's joined in the second round by youngster Cameron Norrie

:05:54. > :05:55.after his opponent, Dmitry Tursonov retired through injury

:05:56. > :05:59.Norrie, who's ranked outside the world's top 200,

:06:00. > :06:03.was leading by two sets to love at the time.

:06:04. > :06:06.We're just an hour away from the start of the final day's

:06:07. > :06:08.play in the second Test between England and the West

:06:09. > :06:13.The West Indies require an unlikely 317 runs to win the match

:06:14. > :06:16.BUT they do have all ten second innings wickets in hand.

:06:17. > :06:23.England's batsmen dominated day four, with six of them scoring half

:06:24. > :06:25.centuries in the second innings - Ben Stokes getting himself 58.

:06:26. > :06:29.But it was Moeen Ali who who put the match in England's favour,

:06:30. > :06:37.A win for England will seal the series.

:06:38. > :06:40.And the problems continue to mount for Arsene Wenger,

:06:41. > :06:42.beaten 4-0 by Liverpool on Sunday, now midfielder Alex

:06:43. > :06:46.Oxlade-Chamberlain looks set to leave the Emirates and join Chelsea.

:06:47. > :06:50.The England midfielder's contract expires next summer,

:06:51. > :06:53.he's refused to commit his future at the Emirates.

:06:54. > :06:55.Chelsea have declined to comment but it's understood they've agreed

:06:56. > :07:07.Liverpool have agreed a club record fee of 48 million pounds for Leipzig

:07:08. > :07:18.But the Guinea international won't move to Anfield until next summer.

:07:19. > :07:22.We will have the headlines in half an hour.

:07:23. > :07:25.This programme has learnt that a number of women are having

:07:26. > :07:27.to undergo hysterectomies to remove a sterilisation device

:07:28. > :07:31.The Essure implant is used to permanently sterilise women,

:07:32. > :07:33.but can cause side effects and complications

:07:34. > :07:41.One woman, who had her uterus removed as a result,

:07:42. > :07:47.told us she was left suicidal due to the "unbearable" pain, and felt

:07:48. > :07:52.The manufacturer says Essure is safe and the benefits outweigh the risks.

:07:53. > :07:55.The sale of the implants in the EU was temporarily suspended this month

:07:56. > :08:02.We bought you our reporter Jean MacKenzie's full report earlier -

:08:03. > :08:13.It felt like I was being stabbed repeatedly, over and over,

:08:14. > :08:19.and there was this hot, burning pain that never ended.

:08:20. > :08:22.Laura remembers being fitted with essure, an implant used

:08:23. > :08:31.I went from being a mum that was doing everything

:08:32. > :08:34.with her children, to a mum that spent most of her days in bed,

:08:35. > :08:37.unable to move without pain, to basically being a shell of myself

:08:38. > :08:47.The small coils which are made from nickel and polyester are inserted

:08:48. > :08:52.They are designed to trigger inflammation which causes

:08:53. > :08:56.scar tissue to build up, eventually blocking the tubes.

:08:57. > :09:01.If you look what it is made of, you start to get

:09:02. > :09:05.10% of women are sensitive to nickel, there is an immediate

:09:06. > :09:08.problem, but it is also made of a compound which is

:09:09. > :09:12.When you heat this bottle up, it will release compounds that

:09:13. > :09:13.are potentially dangerous into the water.

:09:14. > :09:20.That heating happens in the human body.

:09:21. > :09:23.While essure works well for many women, thousands have reported

:09:24. > :09:25.side-effects and complications around the world.

:09:26. > :09:29.We have seen a list of problems the NHS has had with the device.

:09:30. > :09:31.These include the device perforating the fallopian tubes,

:09:32. > :09:33.moving around and attaching to the stomach lining, being

:09:34. > :09:45.I felt like I was a failure as a mother, that I was not

:09:46. > :09:48.the mum that I used to be, that I should be, that

:09:49. > :09:51.I was a burden on everybody around me that was having to pick

:09:52. > :09:56.When women have complications it often requires a hysterectomy

:09:57. > :10:04.How much evidence do you want to be in a position where you go,

:10:05. > :10:11.I think it has a place for women who cannot have a keyhole operation

:10:12. > :10:13.and they understand the risks and benefits of the

:10:14. > :10:20.Do you think with this procedure or with this device

:10:21. > :10:26.Would I suggest it is a procedure for my wife?

:10:27. > :10:30.Well, I don't think I would because I think

:10:31. > :10:33.for her there are probably very suitable alternatives which probably

:10:34. > :10:37.This month the sale of essure was temporarily

:10:38. > :10:48.But the regulator and manufacturer both stress this product is safe

:10:49. > :10:54.I wish I had never had it put inside of me or lived through things

:10:55. > :11:00.that nobody should ever have to live through.

:11:01. > :11:03.Nobody should go through what I went through and yet there are so many

:11:04. > :11:16.We can speak now to Toni Collard, who had Essure fitted six years ago.

:11:17. > :11:19.She's had problems with it and is due to have a hysterectomy

:11:20. > :11:32.Alison Harding had the device put in two years ago and had

:11:33. > :11:34.a hysterectomy last year to remove it.

:11:35. > :11:37.Carl Heneghan is a doctor and heads up the medical evidence team

:11:38. > :11:41.He's been examining the evidence on Essure for three years.

:11:42. > :11:45.And Dr Stephen Burrell is an NHS consultant who fits the device.

:11:46. > :11:51.He's speaking to us from Luton and Dunstable Hospital.

:11:52. > :12:03.Thank you all very much for talking to others. Since he had the device

:12:04. > :12:07.fitted, Toni, how has your life been? I wanted the device fitting

:12:08. > :12:12.because I had finished having babies. I was running my own

:12:13. > :12:19.business and I needed to be ready to go and essure was sold to me that I

:12:20. > :12:24.would be in and out in my lunch hour. It sounded perfect. I wasn't

:12:25. > :12:30.told about these horrendous side effects. I went and had it fitted in

:12:31. > :12:36.my lunch hour. Instantly, I was bleeding. I bled constantly for

:12:37. > :12:43.months, months and months. That was the first sign, as I see it now. The

:12:44. > :12:48.pain started instantly. I thought it would settle, it never did. I

:12:49. > :12:53.visited the doctor and the doctor told me that things would settle.

:12:54. > :12:59.Things never did. A few months later I had an ablation to stop the

:13:00. > :13:04.bleeding. One of the coils was pulled out of the fallopian tube

:13:05. > :13:08.when they did the ablation. I wasn't sterilised after that so I had to

:13:09. > :13:16.have a laparoscopic sterilisation anyway. Which is what you are trying

:13:17. > :13:22.to avoid, trying to avoid surgery? Yes. I have gone to have surgery

:13:23. > :13:31.since then because the other essure Coyle has migrated into my uterus.

:13:32. > :13:34.They cannot retrieve it. I have add two general anaesthetics, countless

:13:35. > :13:39.local anaesthetics and I am due to have a total hysterectomy to remove

:13:40. > :13:44.my uterus and take the essure a way which is causing me awful problems

:13:45. > :13:49.on the 15th of October. What do you think about what you have enjoyed? I

:13:50. > :13:55.think it is dreadful, I feel abused. I feel as though I have been abused.

:13:56. > :14:01.I went in, nobody likes to have even a smear. So to have these potting,

:14:02. > :14:06.it was going to be difficult, it wasn't going to be pleasant, but it

:14:07. > :14:13.was going to be done. The constant procedures I have had to have done,

:14:14. > :14:17.I do feel abused. Are you adamant there was no conversation with the

:14:18. > :14:23.consultant about the potential risks? No, I was told I might spot

:14:24. > :14:27.later, but I was told it would be no worse than having a smear or having

:14:28. > :14:34.another coil fitted. I wasn't told about the effects that are happening

:14:35. > :14:37.to me. Allison, you are nodding in agreement when I asked Hokkaido, was

:14:38. > :14:44.there no conversation about potential risks? No, I was the same.

:14:45. > :14:50.I was told the normal risks you might expect with any normal general

:14:51. > :14:59.anaesthetic because I had to have my essure put under General. They

:15:00. > :15:04.attempted it under without first, but they had to do it with a

:15:05. > :15:09.general. I remember asking what it was made of. I was told it was

:15:10. > :15:13.nothing more offensive than anything that was used in artificial knees or

:15:14. > :15:18.hips. They said it was surgical steel and nylon and it was inert,

:15:19. > :15:23.which isn't true. As a result, I have gone on to have excruciating

:15:24. > :15:37.pain, debilitating pain because of it. How does that impact on your

:15:38. > :15:42.daily life? Before the hysterectomy? I would be at work, I would spend my

:15:43. > :15:50.evenings kneeling on the floor, crying from the pain. It was that

:15:51. > :15:57.bad. That was every night. After the hysterectomy? I've been absolutely

:15:58. > :15:59.fine. I have no more pain. I've got a statement from the manufacturers

:16:00. > :16:04.which I will read in a moment but let me bring in Doctor Stephen

:16:05. > :16:21.Borrell, a consultant who fixed the device. How do you respond to the

:16:22. > :16:24.evidence? They are very distressing stories to hear and we always aim to

:16:25. > :16:29.do the best for our patients. We never want to learn that any

:16:30. > :16:39.procedure has caused any problems consequently. In relation to the

:16:40. > :16:45.essure device, it has been evaluated in studies. My feeling is women

:16:46. > :16:51.should be advised of this prior to the insertion. We should give as

:16:52. > :16:59.accurate as we can. From the studies performed this is less than 1% of

:17:00. > :17:08.women having this problem. Wit is no consolation, would you acknowledge?

:17:09. > :17:23.Those 1% have had major surgery. Absolutely, but it is approximately

:17:24. > :17:30.the same. The exact reasons for why these women suffered the symptoms,

:17:31. > :17:40.we are not knowledgeable about. Are you shocked that in these cases they

:17:41. > :17:46.were not given the information? That doesn't sound correct. Women always

:17:47. > :17:52.have the consent form with me. There is no doubt the consent form was

:17:53. > :18:02.signed, it is whether our conversation was had regarding the

:18:03. > :18:07.risks. Are you shocked it did not happen? I am surprised it did not

:18:08. > :18:12.happen. This is a message from Facebook, persuaded the hospital I

:18:13. > :18:17.was having this fetid, since having it fitted I have suffered from

:18:18. > :18:25.extreme tiredness, pain, bleeding that is so severe I cannot leave the

:18:26. > :18:30.house. Muscle weakness, thinning hair. Most days I wake up feeling I

:18:31. > :18:37.have not slept at all. These symptoms began very quickly after

:18:38. > :18:45.the implant. They continued to affect me every day. Nobody seems to

:18:46. > :18:52.take it seriously. I'm very angry. Another on Facebook, after it was

:18:53. > :18:58.put in there was no follow-up. I had constant pain in my stomach. Carl

:18:59. > :19:04.Hennigan, you head up the medical team at Oxford University. You've

:19:05. > :19:11.heard what the NHS consultant says, he has looked at the evidence. I

:19:12. > :19:16.work for the NHS as well as a GP and I am ashamed and I think the NHS

:19:17. > :19:22.should be ashamed. We've got to take our head out of the sand. The

:19:23. > :19:26.quality of evidence was ridiculous, it was so bad, it doesn't make sense

:19:27. > :19:33.but we got outside of the research context. I don't know what study the

:19:34. > :19:38.consultant is looking at, but the only study that ever compared the

:19:39. > :19:46.device was more than tenfold increase of risk. That was 13 years

:19:47. > :19:53.after the advice was on the market. In America it is being said we need

:19:54. > :20:00.a clinical trial. That is 15 years after we've gone on the market. We

:20:01. > :20:07.have people not telling the truth about studies. I am ashamed to say

:20:08. > :20:14.to these women, I feel for you, we have let people down. We have this

:20:15. > :20:22.systematic way of saying it is in your head. It has got to stop. We've

:20:23. > :20:27.got to end that, we've got to take people seriously, and change the way

:20:28. > :20:33.we do this. We've got to acknowledge the problem is that our existing.

:20:34. > :20:39.What should happen to essure now? Sale has been suspended for three

:20:40. > :20:46.months for commercial reasons, not for patient safety reasons. That

:20:47. > :20:53.happens with all devices when they are going badly wrong. It is before

:20:54. > :21:00.the regulator goes and says they've made a serious mistake. The

:21:01. > :21:04.manufacturer said... "We would like to emphasise that

:21:05. > :21:07.recent independent expert reviews of Essure carried out by medical

:21:08. > :21:09.devices safety authorities have each addressed the safety of Essure

:21:10. > :21:12.in detail and have each concluded that Essure has a positive

:21:13. > :21:14.benefit/risk profile. This means that they consider Essure

:21:15. > :21:17.is safe enough and also that it Many women with Essure rely on this

:21:18. > :21:20.form of contraception "Bayer encourages any women

:21:21. > :21:23.with questions to speak It says "Patient safety

:21:24. > :21:27.and the appropriate use of Essure are the greatest priorities,

:21:28. > :21:29.and the company fully stands behind Essure

:21:30. > :21:31.as an appropriate choice for women Women who currently have Essure

:21:32. > :21:54.in place can continue to feel The manufacturer would say that

:21:55. > :21:57.because this is going to be a serious litigation case globally,

:21:58. > :22:03.nearly 1 million women have had this. What will happen is it will be

:22:04. > :22:12.removed from the market. That will happen. It has been withdrawn in

:22:13. > :22:20.Finland. They've got serious problems in France. You will be left

:22:21. > :22:24.with thousands of women with a lifelong device. How can we have a

:22:25. > :22:29.situation where a manufacturer absolves itself of responsibility?

:22:30. > :22:39.There was no evidence beyond one year on safety. Quite a few people

:22:40. > :22:43.have mentioned that this device contains nickel, which some are

:22:44. > :22:51.allergic to. What do you make of that? When it was approved in

:22:52. > :22:56.America, you needed allergy testing. In 2011 the manufacturer convinced

:22:57. > :23:02.the FTA to downgrade it to a warning. That means nobody was told

:23:03. > :23:16.about the nickel. The manufacturer has shown it does leak nickel,

:23:17. > :23:20.despite ten or 20% of women, it has been an allergy of the year because

:23:21. > :23:29.it has consistent problems so we are removing it from jewellery. Why

:23:30. > :23:34.would you want that in your body? Are you still an advocate of this

:23:35. > :23:39.having heard what you've heard? I think it needs to be kept in

:23:40. > :23:51.context. I appreciate what we've heard. It was published in July.

:23:52. > :23:59.They found, examining the evidence, that it was safe. The vast majority

:24:00. > :24:07.have no problem with it at all. I know the study that has been

:24:08. > :24:17.mentioned about further surgery, 96% of women do not require any further

:24:18. > :24:25.procedure. We are comparing a slightly different scenario. From my

:24:26. > :24:32.perspective, not to say there aren't some issues, some women have

:24:33. > :24:37.suffered very severely. We would like to reassure woman that the vast

:24:38. > :24:42.majority of them will be absolutely fine with this device. I think we

:24:43. > :24:53.need more information as to whether it is suitable for everyone. It is

:24:54. > :25:00.not unusual that a surgery at full -- surgical device will have people

:25:01. > :25:11.not reacting. You don't receive a feed from the manufacturers? I do

:25:12. > :25:14.not receive any money. Nobody is checking on these women. You will

:25:15. > :25:20.probably have the check to see if you are sterilised. Beyond that,

:25:21. > :25:23.nobody is checking on these women. The problems may not reveal

:25:24. > :25:31.themselves in the first three months. These ladies are going into

:25:32. > :25:36.the GP and they are not believed. Every note of mine tells me that I

:25:37. > :25:42.am depressed. I am not. I am fed up with the problems I am getting. All

:25:43. > :25:48.these things are happening to me. We are a group of 300 women. We've not

:25:49. > :25:56.made the same symptoms up. This is happening. There is a problem with

:25:57. > :26:03.this device. I urge anyone having these problems to get themselves

:26:04. > :26:17.checked out and be firm. So many similarities to the joiner mash

:26:18. > :26:22.investigation -- vaginal mesh. We want to know about this, we want to

:26:23. > :26:33.know that essure is as good as we think it is. We want to do the best

:26:34. > :26:35.for our patients. We want them to make the decision. They can only do

:26:36. > :26:44.that if they have the information upfront. Thank you for taking time

:26:45. > :26:47.out of your day. We invited the manufacturer to appear in our film

:26:48. > :26:58.and take part. They are keen to emphasise... Many women rely on it

:26:59. > :27:06.without any side effects. We have asked the regulator to talk to us.

:27:07. > :27:11.They have turned down the request, as have those who offer advice on

:27:12. > :27:16.it. The MHRA told us they had no evidence to suggest this device was

:27:17. > :27:23.unsafe. They told us the recent suspension did not suggest a risk

:27:24. > :27:28.increasing to patient safety. They encourage the reporting of any

:27:29. > :27:36.adverse incidents regardless of how long ago it was inserted. League 1,

:27:37. > :27:37.it is important that the patient and health care professional discuss the

:27:38. > :27:39.risks involved. Is the high cost of insurance

:27:40. > :27:43.for young drivers making them take We'll speak to a woman who we speak

:27:44. > :27:47.to a woman who broke her back and was told she'd never walk again

:27:48. > :27:55.after being hit by -- uninsured driver as she crossed

:27:56. > :28:04.the road. North Korea has fired a missile that

:28:05. > :28:07.flew over north Japan It prompted an alert

:28:08. > :28:11.and people were told to take cover The Japanese prime minister,

:28:12. > :28:14.has expressed outrage and there'll be an emergency meeting of the UN

:28:15. > :28:17.Security Council this afternoon. This was the sound that woke

:28:18. > :28:19.most people up in parts We can speak now to Jonathan Knight,

:28:20. > :28:37.an englishman living in Hirafu, in Northern Japan, and Alex Pettitt,

:28:38. > :28:40.also from the UK, who's an Assistant Professor in Physics

:28:41. > :29:00.at Hokkaido University, We can also talk to Professor Hazel

:29:01. > :29:06.Smith, thank you for all talking to us. Tell us what it was like when

:29:07. > :29:12.you heard those sirens. It woke me up. I was fast asleep. There is a

:29:13. > :29:19.system that is like getting a text message on your phone. The message

:29:20. > :29:27.said, a missile has been launched. The audio you played is the same one

:29:28. > :29:35.that operates across Japan. You could hear in the background what

:29:36. > :29:46.you just played. It says exactly what you said, to take cover. That

:29:47. > :29:52.is what woke me up. You sound very calm. It is a sense of calm.

:29:53. > :29:57.Everybody has gone to work as normal. The kids are back in school.

:29:58. > :30:03.There was a second message 15 minutes after that said the missile

:30:04. > :30:14.had passed over and landed 230 kilometres from where I live. It

:30:15. > :30:20.said, don't touch any fragments. The Japanese are a stoic bunch. They

:30:21. > :30:28.just carry on. Alex, how did you react? Confusion. We have emergency

:30:29. > :30:33.warnings for typhoons but the sound was very different. When they read

:30:34. > :30:37.out what the message said, it was, why would they be targeting us? It

:30:38. > :30:41.does not make sense. We looked outside and there was nobody

:30:42. > :30:50.panicking, everybody was calm. It was strange. We had so little time.

:30:51. > :30:59.Hazel Smith, what will stop North Korea doing this? The ongoing

:31:00. > :31:06.security contest between the major protagonist in the region, until

:31:07. > :31:08.there is a security deal that resolves the underlying political

:31:09. > :31:13.problems, they will continue with the missile development programme,

:31:14. > :31:18.which is what this test was and they will continue to develop a nuclear

:31:19. > :31:23.weapons programme. We know they will continue to do this because they

:31:24. > :31:27.have us. Whether we agree with them or not, they will build a nuclear

:31:28. > :31:31.deterrent which prevents anybody invading them and so they will

:31:32. > :31:37.continue with this programme. What chance is there ever of being a

:31:38. > :31:41.security deal? We have seen major conflicts in the past where

:31:42. > :31:45.protagonists have hated each other, being resolved. We have seen

:31:46. > :31:48.Ireland, where John Major and Tony Blair got around the table with the

:31:49. > :31:54.IRA, people they considered terrorists. In Colombia, there has

:31:55. > :32:00.been a major peace deal after the end of an extraordinary brutal civil

:32:01. > :32:07.war. Both parties have now come together. But what that needs on all

:32:08. > :32:12.sides is a measure of very brave diplomacy, whereby people will come

:32:13. > :32:17.together will take the decision to come together because they will

:32:18. > :32:21.argue that OK, the United States is much stronger than North Korea but

:32:22. > :32:25.nevertheless it would be a terrible catastrophe if there was a military

:32:26. > :32:30.conflict. North Korea is small, but it is able to do damage. In that

:32:31. > :32:34.position, nobody can win in the short term in a military conflict.

:32:35. > :32:39.The only answer, is there anybody who will put their head above the

:32:40. > :32:43.parapet and say, we will go for this diplomacy with people we considered

:32:44. > :32:47.distasteful and damaging to their own people, and of course there is

:32:48. > :32:53.always lots of problems in the last 20, 30 years. That is the big

:32:54. > :32:58.question. Thank you very much, Hazel Smith, Jonathan Knight and Alex.

:32:59. > :33:00.With the News here's Annita in the BBC Newsroom.

:33:01. > :33:03.The United Nations Security Council is to hold an emergency

:33:04. > :33:05.meeting this afternoon, after North Korea fired a ballistic

:33:06. > :33:12.The missile, which fell into the sea, triggered loudspeaker

:33:13. > :33:15.alerts warning people on the island of Hokkaido to take cover.

:33:16. > :33:17.Japan's Prime Minister said the launch represented a serious

:33:18. > :33:25.The US disarmament ambassador called the test a "provocation."

:33:26. > :33:28.The "catastrophic" flooding in Texas is expected to get much worse,

:33:29. > :33:29.with officials warning they expect nearly half-a-million

:33:30. > :33:33.With waters still rising, helicopters and hundreds

:33:34. > :33:36.of specialist vehicles have been deployed in the rescue effort.

:33:37. > :33:38.An emergency has also been declared in neighbouring Louisiana,

:33:39. > :33:45.A four-year-old boy has died in hospital after being found

:33:46. > :33:51.Police were called to reports of a missing child at the Knapp

:33:52. > :33:57.After a search assisted by the police helicopter the child

:33:58. > :34:00.was found in a swimming pool on the site and taken to hospital

:34:01. > :34:03.The boy's next of kin have been informed and

:34:04. > :34:08.An exclusive investigation for this programme has revealed

:34:09. > :34:11.a sterilisation device called Essure can lead to complications requiring

:34:12. > :34:20.The sale of the implant has just been temporarily suspended

:34:21. > :34:24.The manufacturer and regulator say the device is safe and the benefits

:34:25. > :34:33.That's a summary of the latest news, join me for BBC

:34:34. > :34:45.Johanna Konta's wait for a maiden tennis Grand Slam continues,

:34:46. > :34:48.the British number one's been knocked out in the first

:34:49. > :34:50.round of the US Open, losing to the unseeded

:34:51. > :34:54.Konta was among the favourites for the title and could have ended

:34:55. > :34:58.Konta took the first set, but the world number 78 fought back

:34:59. > :35:00.to leave Konta still looking for that elusive first

:35:01. > :35:04.There was a successful return to Grand Slam tennis

:35:05. > :35:06.for Maria Sharapova following her 15 month doping ban.

:35:07. > :35:08.The Russian beat world number two Simona Halep in three sets.

:35:09. > :35:11.And the problems continue to mount for Arsene Wenger,

:35:12. > :35:13.beaten 4-0 by Liverpool on Sunday, now midfielder Alex

:35:14. > :35:15.Oxlade-Chamberlain looks set to leave the Emirates and join Chelsea.

:35:16. > :35:17.The England midfielder's contract expires next summer,

:35:18. > :35:20.he's refused to commit his future at the Emirates.

:35:21. > :35:23.Liverpool have agreed a club record fee of 48 million pounds for Leipzig

:35:24. > :35:28.But the Guinea international won't move to Anfield until next summer.

:35:29. > :35:31.And Liverpool have confirmed a deal for RB Leipzig's Naby Keita to join

:35:32. > :35:43.England's batsmen dominated day four, with six of them scoring half

:35:44. > :35:46.centuries in the second innings - Ben Stokes getting himself 58.

:35:47. > :35:49.But it was Moeen Ali who who put the match in England's favour,

:35:50. > :36:00.A win for England will seal the series.

:36:01. > :36:03.Some MPs are calling for an urgent review after it emerged that a 5

:36:04. > :36:06.year old Christian girl had been placed with Muslim foster

:36:07. > :36:14.carers reportedly against the wishes of her family.

:36:15. > :36:16.Children being fostered are normally placed with families of the same

:36:17. > :36:19.cultural background - but a shortage of foster carers can

:36:20. > :36:28.In a moment we are hoping to speak to a charity that helps

:36:29. > :36:29.disadvantaged children through fostering or adoption.

:36:30. > :36:31.Joining me from Westminster is Neil Carmichael,

:36:32. > :36:34.the former Conservative MP, who launched an inquiry into foster

:36:35. > :36:42.care when he was chairman of the Education Select Committee.

:36:43. > :36:50.There are not that many facts we know about, this particular story.

:36:51. > :36:56.But what is your reaction to the broad headline? It is difficult to

:36:57. > :37:00.get down to the facts, because these are personal situations, individuals

:37:01. > :37:05.trapped in a situation which is not good. It is an acceptable for this

:37:06. > :37:09.to have arisen, where a young child is in a situation where neither her

:37:10. > :37:14.cultural or language is being properly respected. Of course, the

:37:15. > :37:19.United Nations makes it clear such considerations must be taken into

:37:20. > :37:25.account. So the council has not done that and I think it is a failure of

:37:26. > :37:30.children's services. To be fair, we don't know if the council did not do

:37:31. > :37:34.that, we do not know? The outcome is what we can judge this on and the

:37:35. > :37:40.outcome is unacceptable, that this young girl is in the situation she

:37:41. > :37:43.has found herself in. Despite pleading to her family, pleading to

:37:44. > :37:50.the council. There are questions to be asked. One is, where independent

:37:51. > :38:00.sources of fostering consulted, or accessed? Of course, the enquiry

:38:01. > :38:02.which I intend to have before the general election, would have

:38:03. > :38:07.discussed the number of foster carers we do have and the support

:38:08. > :38:12.they get for situations they are in. We know there aren't enough. That is

:38:13. > :38:16.right. That is why we need to encourage more people to become

:38:17. > :38:22.foster carers and that is one of the thrusts the enquiry would have had.

:38:23. > :38:29.Again, as I say, we don't know the full facts of the story. Would it be

:38:30. > :38:33.unacceptable to you if there were no other foster carers available, would

:38:34. > :38:38.it be unacceptable for this Christian child to be placed with

:38:39. > :38:42.Muslim foster carers? In this situation, I think the answer must

:38:43. > :38:48.be yes. The Children's Commissioner will be launching an enquiry. Quite

:38:49. > :38:52.right too. The outcome of the decisions that were made in Tower

:38:53. > :38:56.Hamlets about this particular child have not been taken into account,

:38:57. > :39:02.the proper processes. It is very clear cultural language and issues

:39:03. > :39:05.should be taken into account. These were not taken into account because

:39:06. > :39:10.the outcome would have been different if they had been. What we

:39:11. > :39:14.have to do is ask a few questions about the number of foster carers

:39:15. > :39:18.that are available in Tower Hamlets and elsewhere. Whether or not the

:39:19. > :39:22.council was consulting other councils. It is not just foster

:39:23. > :39:27.carers within their geographical area that can help. There are other

:39:28. > :39:36.possibilities. The central point you make, and it is the right one, is we

:39:37. > :39:39.don't have enough foster carers. It is important to think carefully

:39:40. > :39:41.about the support they get from the councils they operate under and that

:39:42. > :39:48.they do get appropriate payment and support where that is needed. We can

:39:49. > :39:51.talk to carol from Action For Children which helps disadvantaged

:39:52. > :39:56.children through fostering or adoption. Thank you for talking to

:39:57. > :40:00.us, we cannot talk about this particular case, but tell us about

:40:01. > :40:06.the guidance when it comes to how children are fostered in terms of

:40:07. > :40:10.looking at their cultural or religious background? The guidance

:40:11. > :40:15.generally is you try to make as good a match as possible for the child.

:40:16. > :40:21.You take into consideration the cultural aspects of their

:40:22. > :40:26.background. In general, that would be the preference, that you find the

:40:27. > :40:30.best match for the child. It's not just their cultural, but also all

:40:31. > :40:35.their needs can be met by that foster carer. How do you react to a

:40:36. > :40:40.Christian child, we are being told being placed with Muslim foster

:40:41. > :40:48.carers? I don't know the individual situation so I cannot comment. You

:40:49. > :40:53.can see a scenario where that could be justified? There could be

:40:54. > :40:57.circumstances. A child could be placed with a non-Moslem family or

:40:58. > :41:04.other circumstances, it depends on the needs of the child. If it is

:41:05. > :41:11.true the child didn't speak the language the cost -- foster carers

:41:12. > :41:17.spoke, that would be unusual? Yes, because how would the needs of the

:41:18. > :41:21.child be met if there would be a language barrier. Clearly, the

:41:22. > :41:26.child's needs have to be paramount and the foster carer has to be in a

:41:27. > :41:29.position to meet those needs. Thank you very much to you both.

:41:30. > :41:36.Tower Hamlets council said in a statement that they can't

:41:37. > :41:51.The Department of Education told us that...

:41:52. > :41:54.is an important consideration in this decision and local

:41:55. > :41:56.authorities will take this into account alongside the full

:41:57. > :42:04.range of the child's needs when making fostering arrangements."

:42:05. > :42:07.Parents of three and four-year-olds in England have just a few days left

:42:08. > :42:11.From this Friday, working mums and dads can claim up to 30 hours

:42:12. > :42:16.But charities say the governmental scheme has not been properly funded

:42:17. > :42:18.and will put too much pressure on parents and nurseries

:42:19. > :42:22.There have been also been technical problems with the application

:42:23. > :42:24.process which mean thousands of families have so far

:42:25. > :42:32.Let's talk to Ian Morgan, who runs a nursery in Berkshire

:42:33. > :42:35.and says he can't afford to offer 30 hours of free childcare.

:42:36. > :42:39.Edward Burdall owns several nurseries in Sheffield.

:42:40. > :42:42.He says it is possible to offer the 30 hours without charging

:42:43. > :42:47.Nicola Canning has just had her 30 hours confirmed after applying

:42:48. > :42:51.And Becks Hudson has a three-year-old son and says

:42:52. > :42:56.the government scheme is not sustainable.

:42:57. > :43:02.Thank you for coming on the programme. You both run nurseries,

:43:03. > :43:09.you both have opposite viewpoints on this. Edward, you say you can afford

:43:10. > :43:16.to offer this 30 hours of free childcare. Ian, you say you can't.

:43:17. > :43:22.Why? Basically, my hourly rate for delivering childcare is ?5 an hour.

:43:23. > :43:27.The government is offering me for pounds 35 so for every hour I am

:43:28. > :43:33.making a 65p loss, which for 15 hours in the year, that equates to

:43:34. > :43:44.about ?400 and 430 hours, that equates to ?600 plus. Why can't you

:43:45. > :43:49.offer it for ?4 34? I have excellent resources at my nursery. I have very

:43:50. > :43:55.well-qualified staff. I offer children meals and things. A parent

:43:56. > :44:00.is getting an outstanding service from us. Edward, presumably you have

:44:01. > :44:09.qualified staff and offer meals, how are you managing to do it? We get,

:44:10. > :44:12.in Sheffield, a base rate of ?4 seven, but like a lot of local

:44:13. > :44:17.authorities, that varies across the city. That is down to the settlement

:44:18. > :44:24.the local authority get. We offer the 30 hours to all our parents and

:44:25. > :44:27.we can achieve that. How do we achieve that? We achieve that by

:44:28. > :44:31.knowing our own setting and we have an outstanding setting which

:44:32. > :44:37.delivers food with no extras and we are able to do that. We don't cut

:44:38. > :44:40.corners, but we have found with the tools we are given, the rate we have

:44:41. > :44:47.got, it is something we have to deliver and we do do that. Without

:44:48. > :44:52.cutting corners, so it is not about cutting members of staff? No, we

:44:53. > :44:57.follow the ratio across all our settings. We are inspected by Ofsted

:44:58. > :45:03.and we have fully trained staff. We have been credited with outstanding

:45:04. > :45:08.in one of our settings and the other two are good. We offer the 30 hours

:45:09. > :45:13.and we have space. What I would say, the uptake of 30 hours has been very

:45:14. > :45:17.slow in our area, but the rate per hour, which is what we all talk

:45:18. > :45:21.about is what we live and breathe and that is not a level playing

:45:22. > :45:30.field across the UK. That the problem.

:45:31. > :45:38.Sheffield's settlement from the government clearly is not as much.

:45:39. > :45:47.That is dictated by 95% of the councils. Obviously, it is different

:45:48. > :45:52.across the UK. Ian can do it on a lesser rate than you. Because he's

:45:53. > :45:56.in the North of England that does not make sense. We know that some

:45:57. > :46:02.can deliver it in parts of the country on the figures they are

:46:03. > :46:11.given. I cannot. I want my nursery to make a profit. I need to make a

:46:12. > :46:17.profit. And I am not prepared to compromise. My profit goes back into

:46:18. > :46:30.the nursery. I've invested ?170,000 into the nursery. Let's bring in

:46:31. > :46:37.colour -- in Nicola. You are in favour in principle, presumably? I

:46:38. > :46:44.have four children, I am eligible for 30 hours, but it does not work

:46:45. > :46:54.in Suffolk. The rate to the council is ?4 31 but we get ?3 87. I am

:46:55. > :47:01.making a significant loss. As a parent I would needs to make it up

:47:02. > :47:13.in some form. You are asking parents to chip in. It is the only way we

:47:14. > :47:24.can make it work. Why is your rates ?3 87? We've done a Freedom of

:47:25. > :47:30.Information request as to why the rate is so different. The government

:47:31. > :47:37.promised there would be a minimum of ?4 per hour. Norfolk is one of the

:47:38. > :47:41.lowest paid providers. They are getting the money from the

:47:42. > :47:49.government but not giving it to you? Yes. There is a gap in the Suffolk

:47:50. > :47:58.funding rate. Winners that going? We have asked. We are scrambling around

:47:59. > :48:07.but it equates to ?500,000. Where are you? My child has been at this

:48:08. > :48:16.nursery since he was ten months old. He has had an amazing care. The

:48:17. > :48:27.nursery is needing to make up the shortfall. My nursery has been

:48:28. > :48:39.fantastic. You mean if parents cannot make up the shortfall? Yes,

:48:40. > :48:46.some nurseries have consulted and made it very clear in order to keep

:48:47. > :48:53.the quality, the shortfall needs to be made up. That is a ?1 50

:48:54. > :49:02.shortfall. Some parents can afford it and others cannot. I can and I'm

:49:03. > :49:11.more than happy to make up the shortfall to enable my nursery to

:49:12. > :49:20.keep running. Final thought. You've just had 30 hours confirmed. There

:49:21. > :49:24.have been a few problems. Briefly, the Department for Education says,

:49:25. > :49:31.if you can show that you tried to register you will still get your

:49:32. > :49:36.place. It is not just registering, you then need to pass it on, there

:49:37. > :49:41.is another hold-up then. It took me several phone calls, several

:49:42. > :49:49.e-mails, sometimes they give it to you on the phone and others give it

:49:50. > :49:55.online. The Minister for children said the 30 offer is being delivered

:49:56. > :49:58.across the country with 15,000 children benefiting. Providers are

:49:59. > :50:06.committed to offering 30 hours and the additional three are having a

:50:07. > :50:13.really positive impact. Group has brought here is -- parents and

:50:14. > :50:19.providers together. They've bought out the early implementers and it

:50:20. > :50:26.did work. They paid them a high rate. We brought you the news that a

:50:27. > :50:32.four-year-old boy has died after being found in a swimming pool. A

:50:33. > :50:41.reporter is in Plymouth. What can you tell us? Devon and Cornwall

:50:42. > :50:46.police were called to the activity centre just before 3pm yesterday

:50:47. > :50:52.afternoon to reports of a missing four-year-old boy. They carried out

:50:53. > :50:57.an extensive search. The child was found in a swimming pool at the

:50:58. > :51:04.site. He was taken to the hospital where he was pronounced dead. The

:51:05. > :51:08.next of kin have been informed and the death is treated as unexplained

:51:09. > :51:15.at this stage. It happened in a week-long summer holiday camp out

:51:16. > :51:20.organised by narcotics anonymous for members and their families. The

:51:21. > :51:28.charity has released a statement and it says... Tragically, something has

:51:29. > :51:32.gone horrifically wrong. The statement goes on to say that we are

:51:33. > :51:38.devastated that a truly wonderful week ended so tragically. Thank you.

:51:39. > :51:41.New figures obtained by the BBC suggest levels of uninsured driving

:51:42. > :51:44.may be rising for the first time in more than a decade.

:51:45. > :51:48.Claims handled by the Motor Insurers Bureau increased by almost 10%

:51:49. > :52:07.The average cost for a driver aged between 18-20 is ?973 per year. If

:52:08. > :52:10.that leading to a rise in uninsured drivers?

:52:11. > :52:14.He organises car rallies in Essex and pays ?1,600 a year

:52:15. > :52:16.for his motor insurance and says he understands why some

:52:17. > :52:18.young people take the risk of driving uninsured.

:52:19. > :52:25.Laura Wellington is also here, she was hit by a car being driven

:52:26. > :52:31.by a drunk and uninsured driver as she crossed the road.

:52:32. > :52:42.What happened? I broke my back and I had head injuries, I fractured my

:52:43. > :52:50.skull and tore my shoulder. Spinal and head injuries. Pretty horrific.

:52:51. > :52:57.Yes. I was in a back brace for three months from my spinal fractures. It

:52:58. > :53:02.was three years ago and I am still recovering. I still have a lot of

:53:03. > :53:11.pain and memory problems and migraines. And you were simply

:53:12. > :53:16.crossing the road. I was with two friends at the time. We were going

:53:17. > :53:32.back to the house, got off the bus, crossing the road, he hit me. He

:53:33. > :53:38.pleaded guilty. What punishment did he receive? A 17 month driving ban

:53:39. > :53:48.and a small fine. A few points. Is that it? Yes. The sign was less than

:53:49. > :53:56.the average cost. It was about ?300? It was very small. He was not

:53:57. > :54:05.insured which means there is no big insurance company standing by to pay

:54:06. > :54:13.out compensation. So he's got nothing to do with that side of

:54:14. > :54:25.things? I have a claim against the MIB but, yes, he has nothing to do

:54:26. > :54:32.with it. It is a very slow process. Do you feel the driver has got away

:54:33. > :54:41.with this? Wrote this I've tried to not connect with him because it is

:54:42. > :54:48.something I have no control over. I have so much I can focus on like

:54:49. > :54:55.getting myself better. I don't think the punishment is strong enough

:54:56. > :55:04.because the amount of money that he was fined is a fraction of how much

:55:05. > :55:12.it is to insure your car for a year. I can see why people do not, because

:55:13. > :55:21.people are willing to take that risk. As I mentioned in the

:55:22. > :55:25.introduction, up to ?1000 for people between the age of 20 to insure

:55:26. > :55:39.their car for a year. That's a lot of money. But what you experienced

:55:40. > :55:45.is outrageous. Yes, and still ongoing. It will be going on for

:55:46. > :55:54.many years to come. He's served his 17 month ban and just getting on

:55:55. > :56:00.with life for all I know. If the insurance was lower, do you think

:56:01. > :56:13.that drunk driver would have been insured? Yes, I don't know

:56:14. > :56:20.personally about him but there would be a lot more people insured. The

:56:21. > :56:31.money is definitely stopping people. Come closer. I know it has been a

:56:32. > :56:43.bit last-minute. Is it the price? Is it the cost of insurance? I reckon.

:56:44. > :56:54.I know a few people who are not insured. It is an extremely pricey

:56:55. > :57:02.game. You know young people who cannot afford it? Or have made the

:57:03. > :57:08.choice? A bit of both. I know people who cannot afford it, some people do

:57:09. > :57:17.it because they've got no interest. What do you mean? They don't care?

:57:18. > :57:23.Basically. I don't know if you heard what happened to Laura, hit by an

:57:24. > :57:27.uninsured driver who was drunk, spinal injuries, head injury. Do you

:57:28. > :57:32.think people who decide not to insure their car think about those

:57:33. > :57:39.potential consequences? I don't think they do at first. I think they

:57:40. > :57:46.think it is like everyday driving. It will never happen to them. My mum

:57:47. > :57:53.was a victim as well. Her car was written off by an uninsured driver.

:57:54. > :57:57.It is not fair on the people that end up in accidents because they can

:57:58. > :58:05.claim off anybody. Exactly. The person who hit Laura was given a 17

:58:06. > :58:12.month driving ban, some points and a fine. We know that some people are

:58:13. > :58:20.crushing them, is that more of a deterrent? It is a good idea. I

:58:21. > :58:28.think the vehicle should be disposed of. Thank you very much for your

:58:29. > :58:32.company today. We are back tomorrow at 9am. The BBC newsroom is next.

:58:33. > :58:34.My speed record for a full amputation of the leg

:58:35. > :58:38.above the knee is 92 seconds. I intend to break that record today.

:58:39. > :58:46.You kill many more people than I do.

:58:47. > :58:50.Would you like to examine me? Certainly not!