29/08/2017 Victoria Derbyshire


29/08/2017

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Hello it's Tuesday, it's 9.00, I'm Victoria Derbyshire,

:00:11.:00:12.

Our top story today - North Korea has fired a ballistic

:00:13.:00:16.

missile across northern Japan, sparking an air raid warning before

:00:17.:00:18.

There's been international outrage - we'll bring you the details.

:00:19.:00:31.

Also this morning - "Catastrophic" flooding in the US

:00:32.:00:34.

state of Texas is expected to worsen in coming days as waters

:00:35.:00:37.

rise following a storm of historic proportions.

:00:38.:00:41.

We have a two-storey home and on the first floor it's up

:00:42.:00:45.

to here and all the furniture is just floating, everything.

:00:46.:00:51.

We'll hear from some of those affected before 10.00.

:00:52.:00:55.

And - this programme has learnt that women are having hysterectomies

:00:56.:01:00.

to remove a controversial sterilisation implant that's used

:01:01.:01:03.

by the NHS because of severe pain it can cause.

:01:04.:01:07.

Nothing was stopping the pain, it was unbearable.

:01:08.:01:09.

I felt like I was a failure as a mother, that I was not

:01:10.:01:14.

the mum that I used to be, that I should be.

:01:15.:01:22.

The full exclusive report in around 15 minutes time.

:01:23.:01:25.

If you've been fitted with an essure device -

:01:26.:01:27.

really keen to hear your experiences this morning.

:01:28.:01:44.

Hello, welcome to the programme, we're live until 11.00.

:01:45.:01:46.

Throughout the morning we'll keep you up today with all the breaking

:01:47.:01:49.

news and developing stories and - as always - really

:01:50.:01:51.

A little later we'll meet to an eight-year-old girl injured up

:01:52.:01:55.

in the Manchester arena bombings who's been reunited with the police

:01:56.:01:58.

officer who rescued her and drove her to hospital.

:01:59.:02:01.

Lily Harrison and PC Cath Daley will join us

:02:02.:02:08.

Do get in touch on all the stories we're talking about this morning -

:02:09.:02:17.

use the hashtag Victoria live and If you text, you will be charged

:02:18.:02:20.

The United Nations Security Council is to hold an emergency

:02:21.:02:26.

meeting this afternoon, after North Korea fired a missile

:02:27.:02:28.

The missile flew over Hokkaido island before crashing into the sea.

:02:29.:02:39.

Japan's Prime Minister said the launch represented a serious

:02:40.:02:41.

Our correspondent, Yogita Limaye, reports from the South

:02:42.:02:45.

Japan being woken up by a siren on Tuesday morning as a North Korean

:02:46.:02:53.

The rocket was launched from near Pyongyang and it flew over

:02:54.:02:58.

the northern island of Hokkaido, before splitting into three

:02:59.:03:00.

parts and landing into the sea to the east.

:03:01.:03:07.

It is just the latest in a series of military missile tests conducted

:03:08.:03:10.

by North Korea this year, but a more serious one

:03:11.:03:12.

The last time that happened was nearly two decades ago.

:03:13.:03:19.

"The outrageous act of firing a missile over our country

:03:20.:03:22.

is an unprecedented, serious and grave threat," Japanese

:03:23.:03:26.

At a US military base near Tokyo, a military drill was conducted

:03:27.:03:37.

by Japanese forces in response to the missile launch.

:03:38.:03:40.

Across the sea in South Korea, joint exercises are under way

:03:41.:03:42.

They are held every August, and North Korea usually responds

:03:43.:03:46.

Last year, it conducted a nuclear test in retaliation.

:03:47.:03:55.

This year, it has flown a missile that had the potential

:03:56.:04:02.

A strong message that despite international pressure,

:04:03.:04:05.

Our correspondent Yogita Limaye is in the South Korean

:04:06.:04:10.

South Korea have responded, what have they said? It has been a strong

:04:11.:04:27.

response. The military has been told to show overwhelming force against

:04:28.:04:31.

North Korea. South Korean fighter jets staged a live bombing drilled

:04:32.:04:33.

to attack the North Korean leadership. It was a strong response

:04:34.:04:41.

coming from here, especially as president moon has been advocating

:04:42.:04:45.

diplomacy and has said, he wants a peaceful resolution to this crisis.

:04:46.:04:49.

To hear this strong forceful language coming from him today,

:04:50.:04:55.

suddenly shows how seriously this escalation from North Korea is being

:04:56.:05:02.

treated in this country. The UN Security Council has increased

:05:03.:05:06.

sanctions on North Korea, what else can the international community do?

:05:07.:05:11.

This comes just a little over three weeks after the fresh UN sanctions

:05:12.:05:17.

were passed. They banned a major exports from the country. Even

:05:18.:05:21.

China, the top trade partner of North Korea had backed those

:05:22.:05:25.

sanctions and urged North Korea to stop missile tests. We are still to

:05:26.:05:30.

hear what China has to say about this latest launch. We have spoken

:05:31.:05:35.

to analysts here who say sanctions to work against North Korea and this

:05:36.:05:38.

is one more indicator it is not going to stop Pyongyang. Top

:05:39.:05:45.

military officers have spoken and they have said they will implement

:05:46.:05:49.

more military measures. But we don't know yet what that means and when it

:05:50.:05:56.

will happen. Thank you very much. Anthony on Facebook agrees with the

:05:57.:06:00.

analysts, political pressure won't work and nor will sanctions as Kim

:06:01.:06:05.

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

:06:06.:06:10.

Jong-un is playing Donald Trump and he is falling for it. There needs to

:06:11.:06:14.

be a de-escalation in the rhetoric. More to come on that in the morning.

:06:15.:06:17.

Annita is in the BBC Newsroom with a summary

:06:18.:06:19.

The 'catastrophic' flooding in Texas is expected to get much worse,

:06:20.:06:24.

with officials warning they expect nearly half-a-million

:06:25.:06:25.

With waters still rising, helicopters and hundreds

:06:26.:06:28.

of specialist vehicles have been deployed in the rescue effort.

:06:29.:06:30.

An emergency has also been declared in neighbouring Louisiana,

:06:31.:06:33.

Waiting for help to arrive as the floods reached new heights.

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All day, emergency responders, neighbours, and even complete

:06:44.:06:46.

strangers, have answered pleas for help from those

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We're trying to save our babies, that's it.

:06:50.:07:07.

Resources have been overwhelmed by the epic scale of this disaster.

:07:08.:07:11.

20 helicopters have been flying missions and the state's entire

:07:12.:07:15.

national guard has been deployed to aid in the search and rescue.

:07:16.:07:17.

Thousands have been saved but many more remain desperate.

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From midnight until where we are today, 290 have been rescued.

:07:24.:07:29.

We fully recognise that there are many other people out

:07:30.:07:32.

there in stressful situations and we intend to get

:07:33.:07:34.

Houston is struggling to stay afloat.

:07:35.:07:39.

Few parts of the sprawling metropolis have been spared

:07:40.:07:41.

from the rising waters and torrential rain.

:07:42.:07:44.

Every major highway has been affected and Harvey is straining

:07:45.:07:48.

It has been days since Harvey first made landfall.

:07:49.:07:52.

But communities here in Texas are just now

:07:53.:07:55.

And with even more rain forecast, authorities fear

:07:56.:08:00.

President Trump will travel to The Lone Star State today.

:08:01.:08:04.

He has promised rapid federal aid and Texas will need it.

:08:05.:08:07.

The state faces years of rebuilding and recovery in the wake of this

:08:08.:08:11.

An exclusive investigation for the Victoria Derbyshire

:08:12.:08:20.

programme reveals a sterilisation device called Essure can

:08:21.:08:22.

lead to complications requiring full hysterectomies.

:08:23.:08:29.

The sale of the implant - called Essure has just been

:08:30.:08:32.

temporarily suspended for "commercial reasons."

:08:33.:08:37.

The manufacturer and regulator say the device is safe and the benefits

:08:38.:08:39.

The number of uninsured drivers on British roads may be increasing

:08:40.:08:43.

for the first time in more than a decade according to new data

:08:44.:08:46.

The Motor Insurance Bureau, which processes claims by victims

:08:47.:08:52.

of uninsured drivers, say there was an increase of 10%

:08:53.:08:55.

That rise could suggest there are more uninsured drivers on UK roads.

:08:56.:09:12.

Brexit negotiations are continuing in Brussels after the EU told the UK

:09:13.:09:14.

it needed to get serious about the withdrawal talks.

:09:15.:09:16.

The EU's chief negotiator Michel Barnier has

:09:17.:09:18.

expressed concern about the lack of progress made so far and accused

:09:19.:09:21.

Britain of ambiguity on key issues like its exit bill.

:09:22.:09:23.

The UK Brexit Secretary David Davis said both sides had to show

:09:24.:09:26.

The source of a suspected chemical haze which drifted

:09:27.:09:30.

in from the sea yesterday in Sussex is still not known.

:09:31.:09:33.

Around 150 people were treated in hospital

:09:34.:09:36.

after reporting vomiting and irritation, and several beaches

:09:37.:09:38.

An investigation into the source of the haze is continuing.

:09:39.:09:56.

The British actor edge Green has pulled out of a programme. He said

:09:57.:10:06.

he didn't know the race of one of the characters he was playing so

:10:07.:10:11.

he's stepping down and the role can be cast appropriately.

:10:12.:10:23.

We will bring you the story on the Essure advice. If you are offered a

:10:24.:10:38.

hysterectomy after one of these, you will be offered a pelvic mesh. A lot

:10:39.:10:43.

of women don't realise they are suffering and it is down to the

:10:44.:10:47.

Essure divide. And this tweet says, when will they learn? Do not implant

:10:48.:10:53.

device that cannot be removed safely if things go wrong. More on that to

:10:54.:10:58.

come. Your experience is welcome and we will put them into the

:10:59.:11:00.

conversation. Johanna Konta is out of the US open?

:11:01.:11:09.

Yes, it has been a positive year and she made the semi final at

:11:10.:11:13.

Wimbledon, but a first round shock exit in New York this morning to the

:11:14.:11:20.

unseeded Serbian. She was seeded seventh and among the favourites.

:11:21.:11:25.

She could have finished as the world number one, if she did so. She won

:11:26.:11:34.

the first set, 6-4 and then the second and the third. She said it is

:11:35.:11:41.

just a tennis match, just sport. She has taken the defeat well. Heather

:11:42.:11:47.

Watson has gone now. Better news for Kyle Edmund and Andy Murray, pulled

:11:48.:11:52.

out of the US Open injured before it started. We should tell you quickly

:11:53.:11:57.

about a dramatic return to grand slam tennis for Maria Sharapova. She

:11:58.:12:02.

was serving doping suspension. 15 months she was out. She beat Simona

:12:03.:12:07.

Halep, so announcing herself back on the major stage in style. I think

:12:08.:12:13.

she cried. So relieved. Arsenal had a terrible time on Sunday and it

:12:14.:12:19.

looks like they set to lose Alex Oxlade-Chamberlain on.

:12:20.:12:22.

We'll be missing? Yes, he is one of their top players and we will from

:12:23.:12:32.

Ian Wright, but Arsene Wenger is in a sticky situation. The transfer

:12:33.:12:34.

window closes on Thursday night. He could lose his star player and Ozil

:12:35.:12:44.

is out of action. Alex Oxlade-Chamberlain, he arrived from

:12:45.:12:48.

Southampton six years ago. Has been a protege of Arsene Wenger. It is

:12:49.:12:53.

significant in a sense they will lose an England international,

:12:54.:12:57.

24-year-old. So much time ahead of him in the Premier League. Important

:12:58.:13:03.

time for Arsenal. What will happen over these next few days? They have

:13:04.:13:07.

lost two of their opening three games. I was at Anfield on Sunday

:13:08.:13:13.

and I was watching Alex Oxlade-Chamberlain, who looked

:13:14.:13:18.

completely disinterested and so did Alexis Sanchez. And Ian Wright has

:13:19.:13:21.

said the club is in crisis and Arsene Wenger has to go. Where do we

:13:22.:13:27.

stop. The amount of things going wrong. It does come back to Arsene

:13:28.:13:34.

Wenger's door. We are three games in and we are literally at crisis

:13:35.:13:40.

point. We are losing players. Why would Traxler sign Alex

:13:41.:13:45.

Oxlade-Chamberlain. When you say, do I think he should go? I would like

:13:46.:13:49.

him to go because I do not believe now that Arsene Wenger can motivate

:13:50.:13:54.

those players. With everything that is going on above him and the way

:13:55.:13:58.

the players are performing on the pitch, for him to turn this around

:13:59.:14:03.

for himself, for his own sanity. We are three games in and it is already

:14:04.:14:09.

an absolute nightmare. Strong words from Ian Wright. I want to show you

:14:10.:14:15.

this. This is Ousmane Dembele who has signed for Barcelona from

:14:16.:14:22.

Borussia Dortmund who has signed for 100 35mm hounds. The well's media

:14:23.:14:29.

are watching. My kids can do that. That is as bad

:14:30.:14:35.

as me and I am not worth ?135 million. The cricket, they need to

:14:36.:14:39.

bowl out the West Indies, it is the final day at Headingley to win the

:14:40.:14:44.

second test. The West Indies need 317 wins to run.

:14:45.:14:57.

Next - another exclusive investigation by this programme

:14:58.:14:59.

into a controversial device implanted in women.

:15:00.:15:02.

After our revelations earlier this year that 800 patients in the UK

:15:03.:15:05.

were suing the NHS manufacturers over vaginal mesh implants,

:15:06.:15:10.

this morning we're going to bring you news about a sterilisation

:15:11.:15:16.

It's a coil which is inserted into the fallopian tubes,

:15:17.:15:20.

allows women to be sterilised without needing surgery.

:15:21.:15:26.

BUT we've learned it can lead to complications and side-effects

:15:27.:15:28.

such as intense pain - leaving some women with

:15:29.:15:30.

no choice but to have surgery to get it out -

:15:31.:15:33.

including undergoing full hysterectomies.

:15:34.:15:35.

The sale of the implant - called Essure has just been

:15:36.:15:38.

temporarily suspended for "commercial reasons".

:15:39.:15:41.

The manufacturer and regulator say the device is safe and the benefits

:15:42.:15:44.

Our reporter Jean Mackenzie has this exclusive report.

:15:45.:16:02.

It felt like I was being stabbed repeatedly, over

:16:03.:16:04.

and over and there was this hot, burning pain.

:16:05.:16:07.

I felt like I was dying, there was something horribly wrong

:16:08.:16:10.

with me, something was slowly killing me from the inside.

:16:11.:16:18.

It is scary how something so small can cause much damage.

:16:19.:16:21.

This is essure, a device used to permanently sterilise women.

:16:22.:16:34.

The coils are inserted into the fallopian tubes to block them.

:16:35.:16:39.

Seen as revolutionary, the procedure does not require surgery.

:16:40.:16:45.

The device was sold to me on the understanding

:16:46.:16:47.

I would be in and out of the doctor's office

:16:48.:16:51.

That there would not be any recovery time.

:16:52.:16:58.

It had far less risks attached to it than traditional sterilisation.

:16:59.:17:02.

Approved for use on the NHS eight years ago, doctors promised women

:17:03.:17:09.

a quick and safe way to be sterilised.

:17:10.:17:11.

But this has not always been the case.

:17:12.:17:13.

Earlier this year we were contacted by women who told us that essure had

:17:14.:17:16.

Since then we have learnt that there have been major

:17:17.:17:21.

problems with the device, often women are not being told

:17:22.:17:24.

about the risks and sometimes they are needing total

:17:25.:17:26.

It literally felt like somebody was pumping blood out of me.

:17:27.:17:44.

I could feel it sitting down, standing up.

:17:45.:17:48.

The day after Emily's procedure things started to go wrong.

:17:49.:17:53.

The pain, I can remember it now, the sort of tummy ache that feels

:17:54.:18:00.

like somebody is on your insides and squishing everything.

:18:01.:18:04.

Emily's bleeding did not stop and doctors quickly had

:18:05.:18:07.

to remove her womb and fallopian tubes to get the implants out.

:18:08.:18:16.

The other was later found stuck in tissue surrounding her bowel

:18:17.:18:23.

When I go to the toilet the pain is there and I sometimes bleed

:18:24.:18:29.

Living in constant pain is really wearing.

:18:30.:18:46.

Me and Andy find it very difficult to be intimate together

:18:47.:18:50.

In regards to being a mum it stops me being a mum a lot

:18:51.:18:58.

Obviously they could be quite low down and that is really hard

:18:59.:19:03.

in every way, not just in the physical pain,

:19:04.:19:05.

but in the emotional as well because it is quite hard to not be

:19:06.:19:09.

able to be the mum that I want to be.

:19:10.:19:15.

The essure coils are made from nickel and small polyester fibres.

:19:16.:19:20.

The fibres are designed to trigger inflammation

:19:21.:19:22.

inside the fallopian tubes, causing scar tissue to build up

:19:23.:19:27.

which eventually blocks the tubes, sterilising the woman.

:19:28.:19:31.

But this has caused some women intense pain and others have reacted

:19:32.:19:35.

If you look at what it is made of, you start to get

:19:36.:19:42.

Carl Hennigan has been looking at the medical evidence surrounding

:19:43.:19:46.

10% of women are sensitive to nickel.

:19:47.:19:54.

There is an immediate problem, but it is also made of a compound

:19:55.:19:57.

which is present in this, PET, which, when you heat this

:19:58.:20:00.

bottle up, it will release compounds that are potentially

:20:01.:20:02.

That heating happens in the human body and when you do that,

:20:03.:20:09.

it starts to release compounds into your body that can have

:20:10.:20:12.

all sorts of problems that can lead to serious issues.

:20:13.:20:22.

I wake up feeling drugged, I wake up in pain, feeling

:20:23.:20:25.

like I haven't slept after a long sleep.

:20:26.:20:27.

I never feel like I have had enough sleep.

:20:28.:20:36.

The 25th of March, Monday, 2013, pain, wrists, knuckles, shoulders,

:20:37.:20:39.

particularly between shoulder blades, burning sensation.

:20:40.:20:44.

For years Victoria could not work out why she was so unwell and kept

:20:45.:20:47.

A dull thumping headache that radiates from the top of my spine.

:20:48.:20:51.

We need to eat as many as we can before here.

:20:52.:20:58.

What is the most unwell that you have felt?

:20:59.:21:04.

Moments of really feeling like I could not get out of bed

:21:05.:21:07.

and being in an incredible amount of pain and having to go to bed.

:21:08.:21:21.

It was debilitating, I had to be in bed,

:21:22.:21:23.

Underneath the duvet and painkillers and hide from the world.

:21:24.:21:27.

I felt like I was dying, there was something horribly,

:21:28.:21:29.

horribly wrong with me and I was going to die.

:21:30.:21:32.

Like I was being poisoned, something was slowly

:21:33.:21:34.

And how did you feel once you had had the surgery?

:21:35.:21:45.

I had experienced a horrible taste in my mouth for I could not tell

:21:46.:21:53.

you for how long leading up to that point, and it had gone.

:21:54.:21:58.

That came back, that stop falling out.

:21:59.:22:01.

Within 12 months it was just incredible.

:22:02.:22:03.

I was back to where I was before I had it done.

:22:04.:22:14.

The mistake that was made was they thought it was only

:22:15.:22:17.

going to be a localised inflammatory response just within

:22:18.:22:19.

This doctor removes essure from women in the US.

:22:20.:22:27.

He is now advising doctors here on the technique.

:22:28.:22:30.

Do you think there is a clear association between the symptoms

:22:31.:22:32.

that many of these women are complaining

:22:33.:22:34.

I do believe there is a clear association.

:22:35.:22:38.

When we removed the device in its entirety and do not leave

:22:39.:22:41.

any fragments behind, in 90% of the cases we are seeing

:22:42.:22:44.

the patients recovering within just a few hours or even a few days.

:22:45.:22:53.

While essure has worked well for many women,

:22:54.:22:55.

over the past few years thousands have come forward complaining

:22:56.:22:58.

A Facebook group here has more than 300 members,

:22:59.:23:01.

but a similar one in the US has more than 30,000.

:23:02.:23:12.

But it is impossible to know exactly how common problems are.

:23:13.:23:15.

The NHS cannot tell us how many women have been fitted

:23:16.:23:17.

with essure in the UK, or how many have had it removed.

:23:18.:23:20.

The other way to find out is through the body that

:23:21.:23:24.

We sent a Freedom of information request to them, asking how many

:23:25.:23:30.

women have reported problems with the device, but they refused

:23:31.:23:32.

to tell us on this was commercially sensitive information that may

:23:33.:23:35.

But we know that in the US more than 15,000 women

:23:36.:23:44.

These include pain, allergic reactions, and the coil is moving

:23:45.:23:49.

It is outrageous that they have to have journalists or the media

:23:50.:23:56.

tried to get access to this information.

:23:57.:23:59.

You should not even need to use a freedom of information request,

:24:00.:24:01.

it should be on the website because you and I, but particularly

:24:02.:24:04.

the women affected, should be able to look at this data.

:24:05.:24:09.

Many of the women we have spoken to were not warned about some

:24:10.:24:20.

For Laura who has an nickel allergy this would have

:24:21.:24:23.

I was left stuck with these things inside my body

:24:24.:24:29.

I went from being a mother that was doing everything

:24:30.:24:34.

with her children, managing brilliantly, putting

:24:35.:24:37.

carpets down, decorating, and taking the kids here,

:24:38.:24:40.

there and everywhere to a mum that spent most of her days in bed,

:24:41.:24:44.

unable to move without pain, basically being a shell of myself

:24:45.:24:46.

Did you really consider taking your own life?

:24:47.:24:56.

At one point when it was really bad, it seemed that even the painkillers

:24:57.:25:02.

they had me on, even morphine that I had to take home, it just

:25:03.:25:06.

I did not know, I felt like I was a failure as a mother,

:25:07.:25:19.

that I was not the mother that I used to be, that I should be,

:25:20.:25:23.

that I was a burden on everyone around me who was having to pick

:25:24.:25:26.

I really felt like I could not go on.

:25:27.:25:37.

I still have days where all of my joints hurt, I am still in pain.

:25:38.:25:45.

The damage they caused inside me for all of that time

:25:46.:25:48.

Here is what we have found out about the problems with essure.

:25:49.:25:59.

We have seen a letter sent by Cornwall Hospital in 2013 warning

:26:00.:26:02.

women who had had it figured that there had been

:26:03.:26:05.

In 2015, a robust study showed that women who had essure were ten times

:26:06.:26:16.

more likely to need follow up surgery than those who had had

:26:17.:26:19.

Researchers said this was a serious safety concern.

:26:20.:26:30.

We also got hold of a list of safety issues the NHS have had

:26:31.:26:34.

These include the device perforating the fallopian tube,

:26:35.:26:37.

moving around and attaching to the stomach lining, being

:26:38.:26:39.

So why are some hospitals are still using essure?

:26:40.:26:51.

Ben Peyton Jones used to implant the device until his hospital

:26:52.:26:54.

reduced the number of women they offer it to.

:26:55.:26:56.

Do you think that we should be using essure in the UK still has

:26:57.:26:59.

I think it has a place for women who cannot have a keyhole operation

:27:00.:27:05.

and they understand the risks and benefits of the

:27:06.:27:08.

I think if it is used correctly by the manufacturer's guidance

:27:09.:27:19.

and in trained hands, I think it is safe.

:27:20.:27:25.

Do you think with this procedure and with this device

:27:26.:27:27.

Would I suggest it is a procedure for my wife?

:27:28.:27:33.

I don't think I would because I think for her there

:27:34.:27:36.

are probably very suitable alternatives which have a better

:27:37.:27:39.

safety profile, but that is not to say that for some women

:27:40.:27:43.

they will feel that the perceived benefits for them outweigh any risks

:27:44.:27:49.

No one signed up for saying, you know what, give me ten out

:27:50.:28:00.

of ten level pain and make me have to have my uterus removed two

:28:01.:28:04.

That is outrageous, that is unacceptable and yet

:28:05.:28:09.

It is basically shame on every doctor who knows

:28:10.:28:15.

about essure who is not saying, this is something I cannot sign

:28:16.:28:19.

on with, I cannot continue to do it because of the risks to my patients.

:28:20.:28:25.

So how did this device get approved for use in the UK?

:28:26.:28:30.

The clinical trial evidence is so poor it is not even

:28:31.:28:33.

That trial should have followed women up for five years.

:28:34.:28:40.

But they only followed them up for one year,

:28:41.:28:42.

so in effect nobody has got real understanding of what happens at two

:28:43.:28:45.

Seriously, there is insufficient evidence to use this device

:28:46.:28:48.

on the market right now, so it should be withdrawn.

:28:49.:28:52.

Do we need to be worried about other devices?

:28:53.:28:55.

We should be particularly worried about what is called

:28:56.:29:00.

Anything that you put inside of your body you want to know

:29:01.:29:03.

When you look at the evidence that is used for devices

:29:04.:29:09.

across the board at this level, it is inferior.

:29:10.:29:11.

That says to me there is something inherently wrong in how

:29:12.:29:14.

we think about devices, in how we regulate them.

:29:15.:29:18.

Like vaginal meshes which we investigated earlier this year,

:29:19.:29:21.

you have a device that women are complaining about

:29:22.:29:23.

and yet again they feel they are not being listened to.

:29:24.:29:28.

It is clear that there are some risks associated with essure,

:29:29.:29:31.

and yet in the years since these have started to emerge very

:29:32.:29:34.

little has been done to inform or protect women.

:29:35.:29:41.

Last year, the American regulator ordered the manufacturer, Bayer,

:29:42.:29:45.

to carry out long-term testing on essure.

:29:46.:29:48.

It also forced them to put a warning on its box,

:29:49.:29:51.

"Some patients implanted with essure have experienced perforation

:29:52.:30:03.

The inserts have been found in the abdominal or pelvic cavity.

:30:04.:30:08.

Patients have reported persistent pain and suspected allergic

:30:09.:30:11.

It then goes on to say, "if the device needs to be removed,

:30:12.:30:25.

theN a surgical procedure will be required."

:30:26.:30:27.

If you had been told about these risks, would you have

:30:28.:30:29.

Absolutely no way at all, especially the part with the nickel.

:30:30.:30:36.

Why would anyone put themselves at that risk for contraception?

:30:37.:30:46.

Earlier this month the sale of essure implants was suspended

:30:47.:30:51.

The manufacturer has asked hospitals not to use their existing

:30:52.:30:57.

stock during this time, but the regulator has left it up

:30:58.:30:59.

Both Bayer and the NHRA stress that this product is safe

:31:00.:31:04.

and that the majority of women experience no side effects.

:31:05.:31:11.

No one is listening to us, there are many women coming forward,

:31:12.:31:14.

approaching their GPs, going back to the implanting doctors

:31:15.:31:18.

saying that I am unwell, I have been unwell since I had this product.

:31:19.:31:21.

How much evidence do you want to be in a position where you go,

:31:22.:31:27.

I wish that I could go back all them years and say, don't do it,

:31:28.:31:38.

I wish I had never had it put inside me or lived through things

:31:39.:31:47.

that nobody should ever have to live through.

:31:48.:31:50.

Nobody should go through what I went through and yet there are so many

:31:51.:31:54.

You can read all about our story on the BBC news site. Janus says, it

:31:55.:32:21.

amazes me we implant stuff in our bodies when we are sensitive to the

:32:22.:32:25.

things they are made of. And Laura says I am left with permanent

:32:26.:32:32.

debilitating issues from Essure. I am so glad our voices are being

:32:33.:32:35.

heard and awareness raised for all that suffering.

:32:36.:32:37.

We asked the manufacturer and the regulator to appear

:32:38.:32:39.

Instead they gave us this length statement :

:32:40.:32:42.

"We would like to emphasise that recent independent expert reviews

:32:43.:32:45.

of Essure carried out by medical devices safety authorities have each

:32:46.:32:47.

addressed the safety of Essure in detail and have each concluded

:32:48.:32:57.

that Essure has a positive benefit/risk profile.

:32:58.:32:59.

This means that they consider Essure is safe enough and also that it

:33:00.:33:02.

Many women with Essure rely on this form of contraception

:33:03.:33:06.

"Bayer encourages any women with questions to speak

:33:07.:33:09.

It says "Patient safety and the appropriate use of Essure

:33:10.:33:14.

are the greatest priorities, and the company fully

:33:15.:33:17.

stands behind Essure as an appropriate choice for women

:33:18.:33:20.

Women who currently have Essure in place can continue to feel

:33:21.:33:26.

They were also keen to stress that their request to hospitals not

:33:27.:33:32.

to use their existing stock is a voluntary request,

:33:33.:33:35.

and hospitals can make their own decisions.

:33:36.:33:39.

The MHRA told us during the making of this film that they "had no

:33:40.:33:43.

evidence to suggest this device was unsafe".

:33:44.:33:46.

With regards to the recent suspension, they told us this

:33:47.:33:52.

did not suggest an increased risk to patient safety.

:33:53.:33:55.

They said "patient safety is our highest priority

:33:56.:33:57.

and we encourage the reporting of any adverse incidents

:33:58.:34:01.

with medical devices to MHRA regardless of how long ago

:34:02.:34:04.

"It is important that the patient and their health care professional

:34:05.:34:08.

discuss the risks involved in the procedure"

:34:09.:34:21.

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

:34:22.:34:28.

ways. We will be talking about the hurricane.

:34:29.:34:29.

"It was like nothing we've ever seen"

:34:30.:34:32.

We hear the stories of people caught up

:34:33.:34:34.

Reunited: We speak to an 8 year old girl caught up in the Manchester

:34:35.:34:39.

arena bombings and the police officer who rescued her.

:34:40.:34:47.

Here's Annita in the BBC Newsroom with a summary of todays news.

:34:48.:34:55.

The United Nations Security Council is to hold an emergency meeting this

:34:56.:35:01.

afternoon after North Korea fired a ballistic missile over northern

:35:02.:35:04.

Japan. The missile, which fell into the sea triggered loudspeaker alerts

:35:05.:35:09.

warning people on the island of Hokkaido, to take cover. Japan's

:35:10.:35:16.

Prime Minister said it poses a serious threat to his nation. Boris

:35:17.:35:19.

Johnson says he is outraged. The 'catastrophic' flooding in Texas

:35:20.:35:21.

is expected to get much worse, with officials warning they expect

:35:22.:35:24.

nearly half-a-million With waters still rising,

:35:25.:35:26.

helicopters and hundreds of specialist vehicles have been

:35:27.:35:31.

deployed in the rescue effort. An emergency has also been declared

:35:32.:35:33.

in neighbouring Louisiana, The number of uninsured drivers

:35:34.:35:35.

on British roads may be increasing for the first time in more

:35:36.:35:48.

than a decade according to new data The Motor Insurance Bureau,

:35:49.:35:51.

which processes claims by victims of uninsured drivers,

:35:52.:35:54.

say there was an increase of 10% That rise could suggest

:35:55.:35:56.

there are more uninsured That's a summary of the latest BBC

:35:57.:36:00.

News - more at 10.00 And now the sport. Johanna Konta

:36:01.:36:25.

suffered a shock first-round defeat in US open. She could have ended the

:36:26.:36:29.

tournament as the world number one. There was a stunning return to grand

:36:30.:36:37.

slam tennis for Maria Sharapova who knocked out Simona Halep after her

:36:38.:36:42.

15 month doping suspension. Alex Oxlade-Chamberlain is on the verge

:36:43.:36:47.

of joining Chelsea. A fee has been reported for the England

:36:48.:36:50.

international who is out of contract at the Emirates next summer and he

:36:51.:36:55.

has refused to sign a new deal. England's cricketers need to bowl

:36:56.:37:05.

out the West Indies at Headingley. The West Indies need 317 runs to win

:37:06.:37:09.

on the final day, which gets underway in an hour and a half.

:37:10.:37:14.

Moorfield at 10:30 a:m., we will see you then.

:37:15.:37:16.

"Catastrophic" flooding in the US state of Texas is expected

:37:17.:37:20.

to worsen in coming days as waters rise following a storm

:37:21.:37:23.

Much of Houston - one of the largest American cities -

:37:24.:37:27.

is under water and millions of people are still there -

:37:28.:37:30.

either trapped or unwilling to leave vulnerable homes.

:37:31.:37:33.

Officials in Texas estimate around 450-thousand people will need

:37:34.:37:35.

help because of flooding from Tropical Storm Harvey.

:37:36.:37:43.

Some 30,000 residents are likely to require emergency shelter.

:37:44.:37:45.

President Trump's heading to the region today.

:37:46.:37:51.

The rain is pounding numbers and the wind gusts makes it difficult to

:37:52.:38:05.

stay standing. It appears to be one of the worst floods Houston has ever

:38:06.:38:11.

had. We are measuring it not in inches, but in feet. We will get to

:38:12.:38:16.

you, I ask you to remain calm, remain a little patient. This likely

:38:17.:38:30.

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

:38:31.:38:38.

my apartment complex is surrounded by water. We couldn't leave, even if

:38:39.:38:40.

we wanted to. Flooding has taken place wherever

:38:41.:39:04.

there are rivers in the Houston area. They are the ones, at this

:39:05.:39:17.

moment, in dire need of rescue. They are rescuing people in their 90s. It

:39:18.:39:30.

is very overwhelming, they have got to walk her across the street.

:39:31.:39:43.

Within ten to 15 minutes, the water went from ankle high up to waist

:39:44.:39:56.

high. They were under water. Here is the alligator moving along. It is

:39:57.:40:03.

taking its time. Now it looks like there is not only him, but now him!

:40:04.:40:12.

We have received over 2000 phone calls throughout the greater Houston

:40:13.:40:16.

metropolitan area, requesting assistance.

:40:17.:40:31.

The US President, Donald Trump, made an announcement last night,

:40:32.:40:33.

saying the government was "100% with the people of Texas

:40:34.:40:36.

and Louisiana" and they were part of "one American family that hurts

:40:37.:40:39.

together, struggles together, and endures together".

:40:40.:40:45.

Nothing can defeat the unbreakable spirit of the people

:40:46.:40:50.

Right now every American heart sends its love and support to those

:40:51.:40:55.

whose lives have been upended, totally upended, totally,

:40:56.:40:57.

We ask God for his wisdom and strength, we will get

:40:58.:41:08.

through this, we will come out stronger and, believe me,

:41:09.:41:12.

we will be bigger, better, stronger than ever before.

:41:13.:41:17.

The rebuilding will begin and in the end it will be

:41:18.:41:21.

Let's talk now to some of those affected.

:41:22.:41:27.

Pastor Arron Sanders from a local church set up a shelter

:41:28.:41:30.

when Red Cross facilities became overwhelmed, Mayoore De Vries

:41:31.:41:33.

lives in Houston near the heart of the worst affected districts,

:41:34.:41:35.

and Richard Martin lives on the third floor of an apartment

:41:36.:41:38.

Thank you for giving us your time today. Pastor, who are you looking

:41:39.:41:55.

after? There is nowhere for people to go as they came in from the

:41:56.:42:00.

storm. They were dripping wet and lost everything. The community

:42:01.:42:07.

organically organised three shelters in a matter of hours. Local schools

:42:08.:42:12.

opened up the cafeterias, churches came together with nonprofits and

:42:13.:42:16.

the city government and it was amazing to see the response. What

:42:17.:42:21.

kind of things are people saying to you about what they have lost in the

:42:22.:42:28.

floods? They are just in shock, to wake up and sea water in your home

:42:29.:42:34.

and to try to wait it out and be rescued, sometimes by helicopter, by

:42:35.:42:38.

boat. To have lost everything. Some of them are just looking for loved

:42:39.:42:44.

ones and friends and relatives and haven't been able to be in touch

:42:45.:42:50.

with them. They are in a desperate state. Richard, how stressful has it

:42:51.:42:57.

been? It hasn't been a stressful for me because I haven't had any water

:42:58.:43:02.

in my apartment but I live about a quarter of a mile from the central

:43:03.:43:06.

Business District and probably half a mile from one of the largest

:43:07.:43:11.

systems to the downtown area which has suffered some of the heaviest

:43:12.:43:18.

flooding. What is the situation like now? Today was very blustery, very

:43:19.:43:26.

windy. Raining. It has stopped a bit now, but the storm has gone back out

:43:27.:43:32.

into the Gulf and is coming back up through Houston and Louisiana

:43:33.:43:36.

tomorrow. More rain is expected, I think another eight to 15 inches.

:43:37.:43:41.

Thank you for talking to us, we wish you all the best.

:43:42.:43:45.

We hear from a woman who was left suicidal

:43:46.:43:49.

after using the sterilisation device Essure.

:43:50.:43:55.

Next this morning, we speak to an eight-year-old girl

:43:56.:43:58.

caught up in the Manchester arena bombings who's been reunited

:43:59.:44:00.

with the police officer who rescued her and drove her to hospital.

:44:01.:44:03.

Lily Harrison suffered a shrapnel wound and a bruised lung

:44:04.:44:06.

in the blast at the Arianne Grande concert which killed 22 people.

:44:07.:44:11.

PC Cath Daley saw Lily's parents crouched around their unconscious

:44:12.:44:19.

daughter and decided they could not wait for an ambulance so drove

:44:20.:44:25.

She was reunited with Lily and her mother as part

:44:26.:44:29.

OK? You OK? Good to see you. Lily is very excited to see you. Come

:44:30.:45:01.

through. Thank you. Hello, Lily. How are you? Good to see you again. Are

:45:02.:45:12.

you better? Yes. Good, what are you doing? Making a card for you. That

:45:13.:45:18.

is very nice of you, it is great to see you. Do I get a kiss? Yes. We

:45:19.:45:27.

are very grateful, without you getting us there, it could have been

:45:28.:45:32.

a completely different situation. She has recovered so quickly and you

:45:33.:45:39.

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

:45:40.:45:43.

you because you say, I was just doing my job...

:45:44.:45:55.

We just don't know how to say thank you. You have said it, you don't

:45:56.:46:04.

need to say any more. Just seeing you guys here today is all the

:46:05.:46:11.

thanks I need, honestly. Really. Is that for me? Thank you very much.

:46:12.:46:20.

Thank you. Do I get a hug. Thank you, Lily. Thanks very much.

:46:21.:46:25.

Lily Harrison, her mum Lauren Thorpe and PC Cath Daley

:46:26.:46:28.

How are you? You look so well. How has it been recovering? Fun. Why do

:46:29.:46:43.

you say that? I get to do things I could not do before. Like what? Like

:46:44.:46:52.

I could not do handstands against the wall. You can do that now? With

:46:53.:47:00.

help from my mum and dad. We have made her a nice and strong. That is

:47:01.:47:11.

a remarkable recovery. What do you recall from that night? I understand

:47:12.:47:13.

you were 15 feet away from the bomber. Ariana had just finished,

:47:14.:47:26.

Lily was really tired. It was a school night. We tried to leave

:47:27.:47:31.

quite quickly. We came out of the arena and into the room where the

:47:32.:47:42.

bomb went off. We went past the box office and that is when it went off.

:47:43.:47:51.

It was a little bit of a blur. We could see it in our peripheral. I

:47:52.:48:01.

remember seeing Lily on the floor. She had made a sign she was holding

:48:02.:48:17.

at the concert. He picked Lily up like a rugby ball and said, let's

:48:18.:48:23.

go. We headed for the exit. I remember shouting, my leg. I could

:48:24.:48:31.

feel less pain in my leg. It was covered in blood. I did not know

:48:32.:48:37.

what it was. We carried on running down the stairs. Someone stopped in

:48:38.:48:43.

front of Adam, he fell over this person, this person fell with Lily

:48:44.:48:49.

and I fell over them. We tried to get up as quickly as we could.

:48:50.:48:52.

Obviously there were people coming behind us. We hurried up as quickly

:48:53.:48:59.

as we could. Adam picked her up and then he could feel this hall in her

:49:00.:49:11.

back. She said, I don't feel well. We were not in the rush of people in

:49:12.:49:16.

the car park. Adam brought her down and she was unconscious. So we lay

:49:17.:49:19.

her down so we could see what was going on. She just wasn't waking up.

:49:20.:49:26.

We looked at each other as if to say, this is it. She has gone. We

:49:27.:49:34.

did not know what to do with ourselves. We stood there feeling

:49:35.:49:39.

helpless. Eventually she started to come back around. It was kind of

:49:40.:49:45.

such a huge relief because we had gone from rock bottom to then she

:49:46.:49:50.

was awake, so even though she had this injury to her back she was

:49:51.:49:57.

still with us. We lifted her jacket up and had a look, that is when we

:49:58.:50:03.

saw that she had a big hole in her back. Luckily there was a doctor

:50:04.:50:07.

picking up someone from the arena, she came over with another police

:50:08.:50:16.

officer. Realised Lily was not breathing properly. That is where

:50:17.:50:33.

came in. What did you think when you came across them? When I arrived, as

:50:34.:50:41.

you can imagine, it was utter chaos. We got into the car park and I saw

:50:42.:50:45.

the Sergeant treating Lily. Had a brief conversation with him in

:50:46.:50:50.

relation to Lily's breathing. There was a possibility that her lung

:50:51.:50:53.

could have been punctured as a result of the shrapnel. I was

:50:54.:51:00.

acutely aware that it may be some time before we got any medics to

:51:01.:51:06.

where we were. The information we had been given was the other side of

:51:07.:51:10.

the arena. The vehicle I'd arrived and was a short distance away so we

:51:11.:51:15.

made the decision I would get her to hospital as soon as possible in the

:51:16.:51:19.

police vehicle. That's what we did. My colleague picked up Lily, we got

:51:20.:51:27.

her into the police van, sat you on your dad's knee, and we got her the

:51:28.:51:42.

treatment that she needed. You made the right decision. So you've been

:51:43.:51:46.

treated by all these clever doctors, look at you now? It is amazing,

:51:47.:51:56.

isn't it? It is an amazing story when you think about what could have

:51:57.:52:07.

been. Just the recovery, she could not move her head for the first

:52:08.:52:15.

couple of days. Within a couple of days, she was getting better and

:52:16.:52:22.

better. Children are so resilient. She went from staring into space and

:52:23.:52:29.

not moving, all the doctors gave her incentives to get moving again. Did

:52:30.:52:41.

you get to meet Ariana? Yes! And mummy and daddy. Especially daddy.

:52:42.:53:02.

What did she say to you? She said she could get a magazine for me so

:53:03.:53:09.

now I've got that framed in my bedroom. Have you? Obviously meant a

:53:10.:53:15.

lot to the little children in hospital. It was such a left. We

:53:16.:53:27.

phoned a package near the hospital. Then she turned up anyway. Once we

:53:28.:53:35.

heard she was there, everyone was so excited. There was no others crying.

:53:36.:53:48.

She was great, wasn't she? She had loads of pictures with you. Had so

:53:49.:53:54.

much time to chat to everyone. They were brilliant. They found out we

:53:55.:54:00.

did not have tickets for the concert. The hospital sorted that

:54:01.:54:12.

out. What would you say to Cath, this wonderful lady? Thank you. It

:54:13.:54:19.

almost does not seem big enough but that is it. It is just that.

:54:20.:54:33.

Full-stop as you see in the documentary, seeing them here,

:54:34.:54:36.

picture of health, that is enough thanks that I and my colleagues in

:54:37.:54:42.

need. How long have you been in the Force? Nearly 25 years. I've never

:54:43.:54:46.

seen anything like we saw that night. It was human devastation. You

:54:47.:54:56.

were presumably in the force when the IRA bomb hit Manchester.

:54:57.:55:03.

Astonishingly, no loss of life then. That is right, yes. Buy-8-mac

:55:04.:55:07.

devastating. Thank you, all of you, thank you so much. Are you nearly

:55:08.:55:17.

fully recovered as well? Nearly there. Hopefully not long. It

:55:18.:55:22.

doesn't look very nice! The first time I saw it, when it was not all

:55:23.:55:29.

like it is now, I started crying. I'm not surprised. Thank you, all of

:55:30.:55:35.

you. Very much. Continue to get well. Thank you. You can see the

:55:36.:55:44.

full documentary on ITV tonight at 9pm. Let me bring you this news.

:55:45.:55:51.

Devon and Cornwall police say they were notified yesterday of reports

:55:52.:56:01.

of a missing four-year-old boy at an activity centre in Bedford. The

:56:02.:56:04.

police said following an extensive search, the child has been located.

:56:05.:56:16.

Very sadly, he was pronounced dead. The next of kin have been informed.

:56:17.:56:25.

Police enquiries continue. We will bring you the latest news and sport

:56:26.:56:28.

in a few moments. Before that here is the weather.

:56:29.:56:34.

We've been seeing pictures of tropical storm Harvey and this is

:56:35.:56:38.

how much rainfall we still have from the tropical storm. Half of it is

:56:39.:56:48.

onshore. It is picking up the energy and depositing it. Reports show that

:56:49.:56:55.

we've had roamed about a metre of rainfall so far. By the end of

:56:56.:57:03.

tomorrow it could be 1.5 metres. Through the course of tomorrow it

:57:04.:57:09.

will drift northwards and eastwards. The amount of rain will slowly ease.

:57:10.:57:19.

It could worsen across Louisiana and Mississippi. Back home we've got

:57:20.:57:30.

different weather. We've got a weather front drifting southwards.

:57:31.:57:38.

The cloud is being taken with it. It'll be a fairly breezy day ahead

:57:39.:57:41.

and we'd have a mixture of sunshine and showers. As that weather front

:57:42.:57:48.

sinks sofa at it will brighten up. The cloud will move across. Part of

:57:49.:57:58.

the South East are hanging on. It could reach 27 or 28. The dry

:57:59.:58:06.

weather with sunny intervals, the Sun coming out across Wales. For

:58:07.:58:13.

Cheshire into Cumbria and Lancashire, bright afternoon. There

:58:14.:58:26.

will be a peppering of showers. Many of us will have a dry day with some

:58:27.:58:37.

sunny skies. Through this evening and overnight, if anything it will

:58:38.:58:43.

rejuvenate and we will see heavy showers clipping the South East. At

:58:44.:58:48.

the same time we've got a band of rain coming in. For Scotland and

:58:49.:59:01.

Northern Ireland, another breezy day. The two bands of rain are

:59:02.:59:11.

trying to merge. Couple that with the northerly wind. It will feel

:59:12.:59:22.

colder. We will have a good 10 degrees drop in temperature. A quick

:59:23.:59:29.

look at Thursday. Showers feeding in from the West.

:59:30.:59:34.

Hello it's Tuesday, it's 10.00am, I'm Victoria Derbyshire.

:59:35.:59:46.

Japan's Prime Minister says the release of a ballistic missile over

:59:47.:59:52.

his country says it is a threat. It isn't immediately clear when it's

:59:53.:59:57.

launched if it is flying over Japan or towards Japan and my land in

:59:58.:00:01.

Japan. Warning sirens went off on local people were told to take

:00:02.:00:02.

cover. The United Nations Security Council

:00:03.:00:05.

is to hold an emergency We'll be talking to eyewitnesses

:00:06.:00:08.

in Northern Japan about what it was In an exclusive to this programme

:00:09.:00:12.

we'll be speaking to women who have had to undergo surgery

:00:13.:00:16.

to remove a controversial sterilisation implant,

:00:17.:00:18.

used by the NHS, after they were I felt like I was dying, something

:00:19.:00:32.

horribly, horribly wrong with me and I was going to die. Like I was being

:00:33.:00:36.

poisoned and something slowly killing me from the outside.

:00:37.:00:45.

We'll be speaking to a doctor who fits the device and woman

:00:46.:00:48.

who is due to have a hysterectomy after having an implant fitted.

:00:49.:00:51.

The deadline for "free childcare" for three and four year olds

:00:52.:00:54.

From this Friday mums and dads can claim up to 30 hours -charities have

:00:55.:00:59.

argued that the govermental scheme hasn't been funded properly.

:01:00.:01:01.

Your experience is welcome, as always.

:01:02.:01:06.

Here's Annita in the BBC Newsroom with a summary of todays news.

:01:07.:01:10.

The United Nations Security Council is to hold an emergency

:01:11.:01:13.

meeting this afternoon, after North Korea fired a ballistic

:01:14.:01:16.

The missile, which fell into the sea, triggered loudspeaker

:01:17.:01:21.

alerts warning people on the island of Hokkaido to take cover.

:01:22.:01:24.

Japan's Prime Minister said the launch represented a serious

:01:25.:01:27.

The US disarmament ambassador called the test a 'provocation.'

:01:28.:01:34.

The "catastrophic" flooding in Texas is expected to get much worse,

:01:35.:01:37.

with officials warning they expect nearly half-a-million

:01:38.:01:39.

With waters still rising, helicopters and hundreds

:01:40.:01:46.

of specialist vehicles have been deployed in the rescue effort.

:01:47.:01:50.

An emergency has also been declared in neighbouring Louisiana,

:01:51.:01:52.

A four-year-old boy has been found dead in a swimming pool in Devon.

:01:53.:02:12.

The police were called about a missing boy in Bedford. After a

:02:13.:02:17.

surge by the helicopter, the child was found in a swimming pool where

:02:18.:02:21.

he was taken to hospital and pronounced dead. The boy's kin have

:02:22.:02:27.

been informed and enquiries are continuing.

:02:28.:02:30.

An exclusive investigation for the Victoria Derbyshire

:02:31.:02:32.

programme has revealed a sterilisation device called Essure

:02:33.:02:33.

can lead to complications requiring full hysterectomies.

:02:34.:02:36.

The sale of the implant has just been temporarily suspended

:02:37.:02:39.

The manufacturer and regulator say the device is safe and the benefits

:02:40.:02:42.

The number of uninsured drivers on British roads may be increasing

:02:43.:02:47.

for the first time in more than a decade according to new data

:02:48.:02:50.

The Motor Insurance Bureau, which processes claims by victims

:02:51.:02:55.

of uninsured drivers, say there was an increase of 10%

:02:56.:02:58.

That rise could suggest that there are more uninsured people

:02:59.:03:02.

That's a summary of the latest BBC News - more at 10.30.

:03:03.:03:13.

Do get in touch with us throughout the morning -

:03:14.:03:15.

use the hashtag Victoria live and If you text, you will be charged

:03:16.:03:19.

Marjorie on Facebook has got in touch about the essure report. She

:03:20.:03:36.

says I was sterilised in 1980, and then three years later I had to have

:03:37.:03:39.

a hysterectomy. For those three years I had to have -- I was in

:03:40.:03:45.

constant pain and I still haven't had any answer as to where those

:03:46.:03:51.

metal clips had gone to. David says, how can the NHS justify the use of

:03:52.:03:53.

this device. Thank you for those. Johanna Konta's wait for a maiden

:03:54.:03:56.

tennis Grand Slam continues, the British number one's been

:03:57.:04:02.

knocked out in the first round of the US Open,

:04:03.:04:04.

losing to the unseeded Konta was among the favourites

:04:05.:04:06.

for the title and could have ended Konta took the first set,

:04:07.:04:10.

but the world number 78 fought back to leave Konta still looking

:04:11.:04:15.

for that elusive first It would be quite obnoxious of me to

:04:16.:04:29.

come in here expecting that I have a right to be in the second week. I am

:04:30.:04:35.

very much aware for me to have that opportunity, I need to work very

:04:36.:04:39.

hard. For me losing in the first round, it's obviously not ideal, as

:04:40.:04:45.

it isn't anybody. I think everybody coming here wants to be in as long

:04:46.:04:50.

as possible. I lost to the better player today and that is how sport

:04:51.:04:51.

goes. There was a successful return

:04:52.:04:55.

to Grand Slam tennis for Maria Sharapova following her 15

:04:56.:04:57.

month doping ban. The Russian beat world number two

:04:58.:04:59.

Simona Halep in three sets. Sharapova was given a wild card

:05:00.:05:02.

to enter the main draw. She's currently ranked

:05:03.:05:04.

146th in the world. We have just completed so well

:05:05.:05:15.

against each other in the past and have produced some really good

:05:16.:05:20.

tennis. Despite not playing a lot of matches coming into this, it almost

:05:21.:05:24.

seemed like I had no right to win this match today. I somehow did. I

:05:25.:05:29.

think that is what I am most proud of.

:05:30.:05:31.

Heather Watson's poor run at Flushing Meadows continues.

:05:32.:05:34.

The British number two was knocked out by Alizay

:05:35.:05:36.

It's the seventh successive year Watson has gone out

:05:37.:05:40.

A better day for Britain's men though.

:05:41.:05:45.

Kyle Edmund won his first round match against Robin

:05:46.:05:48.

He's joined in the second round by youngster Cameron Norrie

:05:49.:05:53.

after his opponent, Dmitry Tursonov retired through injury

:05:54.:05:55.

Norrie, who's ranked outside the world's top 200,

:05:56.:05:59.

was leading by two sets to love at the time.

:06:00.:06:03.

We're just an hour away from the start of the final day's

:06:04.:06:06.

play in the second Test between England and the West

:06:07.:06:08.

The West Indies require an unlikely 317 runs to win the match

:06:09.:06:13.

BUT they do have all ten second innings wickets in hand.

:06:14.:06:16.

England's batsmen dominated day four, with six of them scoring half

:06:17.:06:23.

centuries in the second innings - Ben Stokes getting himself 58.

:06:24.:06:25.

But it was Moeen Ali who who put the match in England's favour,

:06:26.:06:29.

A win for England will seal the series.

:06:30.:06:37.

And the problems continue to mount for Arsene Wenger,

:06:38.:06:40.

beaten 4-0 by Liverpool on Sunday, now midfielder Alex

:06:41.:06:42.

Oxlade-Chamberlain looks set to leave the Emirates and join Chelsea.

:06:43.:06:46.

The England midfielder's contract expires next summer,

:06:47.:06:50.

he's refused to commit his future at the Emirates.

:06:51.:06:53.

Chelsea have declined to comment but it's understood they've agreed

:06:54.:06:55.

Liverpool have agreed a club record fee of 48 million pounds for Leipzig

:06:56.:07:07.

But the Guinea international won't move to Anfield until next summer.

:07:08.:07:18.

We will have the headlines in half an hour.

:07:19.:07:22.

This programme has learnt that a number of women are having

:07:23.:07:25.

to undergo hysterectomies to remove a sterilisation device

:07:26.:07:27.

The Essure implant is used to permanently sterilise women,

:07:28.:07:31.

but can cause side effects and complications

:07:32.:07:33.

One woman, who had her uterus removed as a result,

:07:34.:07:41.

told us she was left suicidal due to the "unbearable" pain, and felt

:07:42.:07:47.

The manufacturer says Essure is safe and the benefits outweigh the risks.

:07:48.:07:52.

The sale of the implants in the EU was temporarily suspended this month

:07:53.:07:55.

We bought you our reporter Jean MacKenzie's full report earlier -

:07:56.:08:02.

It felt like I was being stabbed repeatedly, over and over,

:08:03.:08:13.

and there was this hot, burning pain that never ended.

:08:14.:08:19.

Laura remembers being fitted with essure, an implant used

:08:20.:08:22.

I went from being a mum that was doing everything

:08:23.:08:31.

with her children, to a mum that spent most of her days in bed,

:08:32.:08:34.

unable to move without pain, to basically being a shell of myself

:08:35.:08:37.

The small coils which are made from nickel and polyester are inserted

:08:38.:08:47.

They are designed to trigger inflammation which causes

:08:48.:08:52.

scar tissue to build up, eventually blocking the tubes.

:08:53.:08:56.

If you look what it is made of, you start to get

:08:57.:09:01.

10% of women are sensitive to nickel, there is an immediate

:09:02.:09:05.

problem, but it is also made of a compound which is

:09:06.:09:08.

When you heat this bottle up, it will release compounds that

:09:09.:09:12.

are potentially dangerous into the water.

:09:13.:09:13.

That heating happens in the human body.

:09:14.:09:20.

While essure works well for many women, thousands have reported

:09:21.:09:23.

side-effects and complications around the world.

:09:24.:09:25.

We have seen a list of problems the NHS has had with the device.

:09:26.:09:29.

These include the device perforating the fallopian tubes,

:09:30.:09:31.

moving around and attaching to the stomach lining, being

:09:32.:09:33.

I felt like I was a failure as a mother, that I was not

:09:34.:09:45.

the mum that I used to be, that I should be, that

:09:46.:09:48.

I was a burden on everybody around me that was having to pick

:09:49.:09:51.

When women have complications it often requires a hysterectomy

:09:52.:09:56.

How much evidence do you want to be in a position where you go,

:09:57.:10:04.

I think it has a place for women who cannot have a keyhole operation

:10:05.:10:11.

and they understand the risks and benefits of the

:10:12.:10:13.

Do you think with this procedure or with this device

:10:14.:10:20.

Would I suggest it is a procedure for my wife?

:10:21.:10:26.

Well, I don't think I would because I think

:10:27.:10:30.

for her there are probably very suitable alternatives which probably

:10:31.:10:33.

This month the sale of essure was temporarily

:10:34.:10:37.

But the regulator and manufacturer both stress this product is safe

:10:38.:10:48.

I wish I had never had it put inside of me or lived through things

:10:49.:10:54.

that nobody should ever have to live through.

:10:55.:11:00.

Nobody should go through what I went through and yet there are so many

:11:01.:11:03.

We can speak now to Toni Collard, who had Essure fitted six years ago.

:11:04.:11:16.

She's had problems with it and is due to have a hysterectomy

:11:17.:11:19.

Alison Harding had the device put in two years ago and had

:11:20.:11:32.

a hysterectomy last year to remove it.

:11:33.:11:34.

Carl Heneghan is a doctor and heads up the medical evidence team

:11:35.:11:37.

He's been examining the evidence on Essure for three years.

:11:38.:11:41.

And Dr Stephen Burrell is an NHS consultant who fits the device.

:11:42.:11:45.

He's speaking to us from Luton and Dunstable Hospital.

:11:46.:11:51.

Thank you all very much for talking to others. Since he had the device

:11:52.:12:03.

fitted, Toni, how has your life been? I wanted the device fitting

:12:04.:12:07.

because I had finished having babies. I was running my own

:12:08.:12:12.

business and I needed to be ready to go and essure was sold to me that I

:12:13.:12:19.

would be in and out in my lunch hour. It sounded perfect. I wasn't

:12:20.:12:24.

told about these horrendous side effects. I went and had it fitted in

:12:25.:12:30.

my lunch hour. Instantly, I was bleeding. I bled constantly for

:12:31.:12:36.

months, months and months. That was the first sign, as I see it now. The

:12:37.:12:43.

pain started instantly. I thought it would settle, it never did. I

:12:44.:12:48.

visited the doctor and the doctor told me that things would settle.

:12:49.:12:53.

Things never did. A few months later I had an ablation to stop the

:12:54.:12:59.

bleeding. One of the coils was pulled out of the fallopian tube

:13:00.:13:04.

when they did the ablation. I wasn't sterilised after that so I had to

:13:05.:13:08.

have a laparoscopic sterilisation anyway. Which is what you are trying

:13:09.:13:16.

to avoid, trying to avoid surgery? Yes. I have gone to have surgery

:13:17.:13:22.

since then because the other essure Coyle has migrated into my uterus.

:13:23.:13:31.

They cannot retrieve it. I have add two general anaesthetics, countless

:13:32.:13:34.

local anaesthetics and I am due to have a total hysterectomy to remove

:13:35.:13:39.

my uterus and take the essure a way which is causing me awful problems

:13:40.:13:44.

on the 15th of October. What do you think about what you have enjoyed? I

:13:45.:13:49.

think it is dreadful, I feel abused. I feel as though I have been abused.

:13:50.:13:55.

I went in, nobody likes to have even a smear. So to have these potting,

:13:56.:14:01.

it was going to be difficult, it wasn't going to be pleasant, but it

:14:02.:14:06.

was going to be done. The constant procedures I have had to have done,

:14:07.:14:13.

I do feel abused. Are you adamant there was no conversation with the

:14:14.:14:17.

consultant about the potential risks? No, I was told I might spot

:14:18.:14:23.

later, but I was told it would be no worse than having a smear or having

:14:24.:14:27.

another coil fitted. I wasn't told about the effects that are happening

:14:28.:14:34.

to me. Allison, you are nodding in agreement when I asked Hokkaido, was

:14:35.:14:37.

there no conversation about potential risks? No, I was the same.

:14:38.:14:44.

I was told the normal risks you might expect with any normal general

:14:45.:14:50.

anaesthetic because I had to have my essure put under General. They

:14:51.:14:59.

attempted it under without first, but they had to do it with a

:15:00.:15:04.

general. I remember asking what it was made of. I was told it was

:15:05.:15:09.

nothing more offensive than anything that was used in artificial knees or

:15:10.:15:13.

hips. They said it was surgical steel and nylon and it was inert,

:15:14.:15:18.

which isn't true. As a result, I have gone on to have excruciating

:15:19.:15:23.

pain, debilitating pain because of it. How does that impact on your

:15:24.:15:37.

daily life? Before the hysterectomy? I would be at work, I would spend my

:15:38.:15:42.

evenings kneeling on the floor, crying from the pain. It was that

:15:43.:15:50.

bad. That was every night. After the hysterectomy? I've been absolutely

:15:51.:15:57.

fine. I have no more pain. I've got a statement from the manufacturers

:15:58.:15:59.

which I will read in a moment but let me bring in Doctor Stephen

:16:00.:16:04.

Borrell, a consultant who fixed the device. How do you respond to the

:16:05.:16:21.

evidence? They are very distressing stories to hear and we always aim to

:16:22.:16:24.

do the best for our patients. We never want to learn that any

:16:25.:16:29.

procedure has caused any problems consequently. In relation to the

:16:30.:16:39.

essure device, it has been evaluated in studies. My feeling is women

:16:40.:16:45.

should be advised of this prior to the insertion. We should give as

:16:46.:16:51.

accurate as we can. From the studies performed this is less than 1% of

:16:52.:16:59.

women having this problem. Wit is no consolation, would you acknowledge?

:17:00.:17:08.

Those 1% have had major surgery. Absolutely, but it is approximately

:17:09.:17:23.

the same. The exact reasons for why these women suffered the symptoms,

:17:24.:17:30.

we are not knowledgeable about. Are you shocked that in these cases they

:17:31.:17:40.

were not given the information? That doesn't sound correct. Women always

:17:41.:17:46.

have the consent form with me. There is no doubt the consent form was

:17:47.:17:52.

signed, it is whether our conversation was had regarding the

:17:53.:18:02.

risks. Are you shocked it did not happen? I am surprised it did not

:18:03.:18:07.

happen. This is a message from Facebook, persuaded the hospital I

:18:08.:18:12.

was having this fetid, since having it fitted I have suffered from

:18:13.:18:17.

extreme tiredness, pain, bleeding that is so severe I cannot leave the

:18:18.:18:25.

house. Muscle weakness, thinning hair. Most days I wake up feeling I

:18:26.:18:30.

have not slept at all. These symptoms began very quickly after

:18:31.:18:37.

the implant. They continued to affect me every day. Nobody seems to

:18:38.:18:45.

take it seriously. I'm very angry. Another on Facebook, after it was

:18:46.:18:52.

put in there was no follow-up. I had constant pain in my stomach. Carl

:18:53.:18:58.

Hennigan, you head up the medical team at Oxford University. You've

:18:59.:19:04.

heard what the NHS consultant says, he has looked at the evidence. I

:19:05.:19:11.

work for the NHS as well as a GP and I am ashamed and I think the NHS

:19:12.:19:16.

should be ashamed. We've got to take our head out of the sand. The

:19:17.:19:22.

quality of evidence was ridiculous, it was so bad, it doesn't make sense

:19:23.:19:26.

but we got outside of the research context. I don't know what study the

:19:27.:19:33.

consultant is looking at, but the only study that ever compared the

:19:34.:19:38.

device was more than tenfold increase of risk. That was 13 years

:19:39.:19:46.

after the advice was on the market. In America it is being said we need

:19:47.:19:53.

a clinical trial. That is 15 years after we've gone on the market. We

:19:54.:20:00.

have people not telling the truth about studies. I am ashamed to say

:20:01.:20:07.

to these women, I feel for you, we have let people down. We have this

:20:08.:20:14.

systematic way of saying it is in your head. It has got to stop. We've

:20:15.:20:22.

got to end that, we've got to take people seriously, and change the way

:20:23.:20:27.

we do this. We've got to acknowledge the problem is that our existing.

:20:28.:20:33.

What should happen to essure now? Sale has been suspended for three

:20:34.:20:39.

months for commercial reasons, not for patient safety reasons. That

:20:40.:20:46.

happens with all devices when they are going badly wrong. It is before

:20:47.:20:53.

the regulator goes and says they've made a serious mistake. The

:20:54.:21:00.

manufacturer said... "We would like to emphasise that

:21:01.:21:04.

recent independent expert reviews of Essure carried out by medical

:21:05.:21:07.

devices safety authorities have each addressed the safety of Essure

:21:08.:21:09.

in detail and have each concluded that Essure has a positive

:21:10.:21:12.

benefit/risk profile. This means that they consider Essure

:21:13.:21:14.

is safe enough and also that it Many women with Essure rely on this

:21:15.:21:17.

form of contraception "Bayer encourages any women

:21:18.:21:20.

with questions to speak It says "Patient safety

:21:21.:21:23.

and the appropriate use of Essure are the greatest priorities,

:21:24.:21:27.

and the company fully stands behind Essure

:21:28.:21:29.

as an appropriate choice for women Women who currently have Essure

:21:30.:21:31.

in place can continue to feel The manufacturer would say that

:21:32.:21:54.

because this is going to be a serious litigation case globally,

:21:55.:21:57.

nearly 1 million women have had this. What will happen is it will be

:21:58.:22:03.

removed from the market. That will happen. It has been withdrawn in

:22:04.:22:12.

Finland. They've got serious problems in France. You will be left

:22:13.:22:20.

with thousands of women with a lifelong device. How can we have a

:22:21.:22:24.

situation where a manufacturer absolves itself of responsibility?

:22:25.:22:29.

There was no evidence beyond one year on safety. Quite a few people

:22:30.:22:39.

have mentioned that this device contains nickel, which some are

:22:40.:22:43.

allergic to. What do you make of that? When it was approved in

:22:44.:22:51.

America, you needed allergy testing. In 2011 the manufacturer convinced

:22:52.:22:56.

the FTA to downgrade it to a warning. That means nobody was told

:22:57.:23:02.

about the nickel. The manufacturer has shown it does leak nickel,

:23:03.:23:16.

despite ten or 20% of women, it has been an allergy of the year because

:23:17.:23:20.

it has consistent problems so we are removing it from jewellery. Why

:23:21.:23:29.

would you want that in your body? Are you still an advocate of this

:23:30.:23:34.

having heard what you've heard? I think it needs to be kept in

:23:35.:23:39.

context. I appreciate what we've heard. It was published in July.

:23:40.:23:51.

They found, examining the evidence, that it was safe. The vast majority

:23:52.:23:59.

have no problem with it at all. I know the study that has been

:24:00.:24:07.

mentioned about further surgery, 96% of women do not require any further

:24:08.:24:17.

procedure. We are comparing a slightly different scenario. From my

:24:18.:24:25.

perspective, not to say there aren't some issues, some women have

:24:26.:24:32.

suffered very severely. We would like to reassure woman that the vast

:24:33.:24:37.

majority of them will be absolutely fine with this device. I think we

:24:38.:24:42.

need more information as to whether it is suitable for everyone. It is

:24:43.:24:53.

not unusual that a surgery at full -- surgical device will have people

:24:54.:25:00.

not reacting. You don't receive a feed from the manufacturers? I do

:25:01.:25:11.

not receive any money. Nobody is checking on these women. You will

:25:12.:25:14.

probably have the check to see if you are sterilised. Beyond that,

:25:15.:25:20.

nobody is checking on these women. The problems may not reveal

:25:21.:25:23.

themselves in the first three months. These ladies are going into

:25:24.:25:31.

the GP and they are not believed. Every note of mine tells me that I

:25:32.:25:36.

am depressed. I am not. I am fed up with the problems I am getting. All

:25:37.:25:42.

these things are happening to me. We are a group of 300 women. We've not

:25:43.:25:48.

made the same symptoms up. This is happening. There is a problem with

:25:49.:25:56.

this device. I urge anyone having these problems to get themselves

:25:57.:26:03.

checked out and be firm. So many similarities to the joiner mash

:26:04.:26:17.

investigation -- vaginal mesh. We want to know about this, we want to

:26:18.:26:22.

know that essure is as good as we think it is. We want to do the best

:26:23.:26:33.

for our patients. We want them to make the decision. They can only do

:26:34.:26:35.

that if they have the information upfront. Thank you for taking time

:26:36.:26:44.

out of your day. We invited the manufacturer to appear in our film

:26:45.:26:47.

and take part. They are keen to emphasise... Many women rely on it

:26:48.:26:58.

without any side effects. We have asked the regulator to talk to us.

:26:59.:27:06.

They have turned down the request, as have those who offer advice on

:27:07.:27:11.

it. The MHRA told us they had no evidence to suggest this device was

:27:12.:27:16.

unsafe. They told us the recent suspension did not suggest a risk

:27:17.:27:23.

increasing to patient safety. They encourage the reporting of any

:27:24.:27:28.

adverse incidents regardless of how long ago it was inserted. League 1,

:27:29.:27:36.

it is important that the patient and health care professional discuss the

:27:37.:27:37.

risks involved. Is the high cost of insurance

:27:38.:27:39.

for young drivers making them take We'll speak to a woman who we speak

:27:40.:27:43.

to a woman who broke her back and was told she'd never walk again

:27:44.:27:47.

after being hit by -- uninsured driver as she crossed

:27:48.:27:55.

the road. North Korea has fired a missile that

:27:56.:28:04.

flew over north Japan It prompted an alert

:28:05.:28:07.

and people were told to take cover The Japanese prime minister,

:28:08.:28:11.

has expressed outrage and there'll be an emergency meeting of the UN

:28:12.:28:14.

Security Council this afternoon. This was the sound that woke

:28:15.:28:17.

most people up in parts We can speak now to Jonathan Knight,

:28:18.:28:19.

an englishman living in Hirafu, in Northern Japan, and Alex Pettitt,

:28:20.:28:37.

also from the UK, who's an Assistant Professor in Physics

:28:38.:28:40.

at Hokkaido University, We can also talk to Professor Hazel

:28:41.:29:00.

Smith, thank you for all talking to us. Tell us what it was like when

:29:01.:29:06.

you heard those sirens. It woke me up. I was fast asleep. There is a

:29:07.:29:12.

system that is like getting a text message on your phone. The message

:29:13.:29:19.

said, a missile has been launched. The audio you played is the same one

:29:20.:29:27.

that operates across Japan. You could hear in the background what

:29:28.:29:35.

you just played. It says exactly what you said, to take cover. That

:29:36.:29:46.

is what woke me up. You sound very calm. It is a sense of calm.

:29:47.:29:52.

Everybody has gone to work as normal. The kids are back in school.

:29:53.:29:57.

There was a second message 15 minutes after that said the missile

:29:58.:30:03.

had passed over and landed 230 kilometres from where I live. It

:30:04.:30:14.

said, don't touch any fragments. The Japanese are a stoic bunch. They

:30:15.:30:20.

just carry on. Alex, how did you react? Confusion. We have emergency

:30:21.:30:28.

warnings for typhoons but the sound was very different. When they read

:30:29.:30:33.

out what the message said, it was, why would they be targeting us? It

:30:34.:30:37.

does not make sense. We looked outside and there was nobody

:30:38.:30:41.

panicking, everybody was calm. It was strange. We had so little time.

:30:42.:30:50.

Hazel Smith, what will stop North Korea doing this? The ongoing

:30:51.:30:59.

security contest between the major protagonist in the region, until

:31:00.:31:06.

there is a security deal that resolves the underlying political

:31:07.:31:08.

problems, they will continue with the missile development programme,

:31:09.:31:13.

which is what this test was and they will continue to develop a nuclear

:31:14.:31:18.

weapons programme. We know they will continue to do this because they

:31:19.:31:23.

have us. Whether we agree with them or not, they will build a nuclear

:31:24.:31:27.

deterrent which prevents anybody invading them and so they will

:31:28.:31:31.

continue with this programme. What chance is there ever of being a

:31:32.:31:37.

security deal? We have seen major conflicts in the past where

:31:38.:31:41.

protagonists have hated each other, being resolved. We have seen

:31:42.:31:45.

Ireland, where John Major and Tony Blair got around the table with the

:31:46.:31:48.

IRA, people they considered terrorists. In Colombia, there has

:31:49.:31:54.

been a major peace deal after the end of an extraordinary brutal civil

:31:55.:32:00.

war. Both parties have now come together. But what that needs on all

:32:01.:32:07.

sides is a measure of very brave diplomacy, whereby people will come

:32:08.:32:12.

together will take the decision to come together because they will

:32:13.:32:17.

argue that OK, the United States is much stronger than North Korea but

:32:18.:32:21.

nevertheless it would be a terrible catastrophe if there was a military

:32:22.:32:25.

conflict. North Korea is small, but it is able to do damage. In that

:32:26.:32:30.

position, nobody can win in the short term in a military conflict.

:32:31.:32:34.

The only answer, is there anybody who will put their head above the

:32:35.:32:39.

parapet and say, we will go for this diplomacy with people we considered

:32:40.:32:43.

distasteful and damaging to their own people, and of course there is

:32:44.:32:47.

always lots of problems in the last 20, 30 years. That is the big

:32:48.:32:53.

question. Thank you very much, Hazel Smith, Jonathan Knight and Alex.

:32:54.:32:58.

With the News here's Annita in the BBC Newsroom.

:32:59.:33:00.

The United Nations Security Council is to hold an emergency

:33:01.:33:03.

meeting this afternoon, after North Korea fired a ballistic

:33:04.:33:05.

The missile, which fell into the sea, triggered loudspeaker

:33:06.:33:12.

alerts warning people on the island of Hokkaido to take cover.

:33:13.:33:15.

Japan's Prime Minister said the launch represented a serious

:33:16.:33:17.

The US disarmament ambassador called the test a "provocation."

:33:18.:33:25.

The "catastrophic" flooding in Texas is expected to get much worse,

:33:26.:33:28.

with officials warning they expect nearly half-a-million

:33:29.:33:29.

With waters still rising, helicopters and hundreds

:33:30.:33:33.

of specialist vehicles have been deployed in the rescue effort.

:33:34.:33:36.

An emergency has also been declared in neighbouring Louisiana,

:33:37.:33:38.

A four-year-old boy has died in hospital after being found

:33:39.:33:45.

Police were called to reports of a missing child at the Knapp

:33:46.:33:51.

After a search assisted by the police helicopter the child

:33:52.:33:57.

was found in a swimming pool on the site and taken to hospital

:33:58.:34:00.

The boy's next of kin have been informed and

:34:01.:34:03.

An exclusive investigation for this programme has revealed

:34:04.:34:08.

a sterilisation device called Essure can lead to complications requiring

:34:09.:34:11.

The sale of the implant has just been temporarily suspended

:34:12.:34:20.

The manufacturer and regulator say the device is safe and the benefits

:34:21.:34:24.

That's a summary of the latest news, join me for BBC

:34:25.:34:33.

Johanna Konta's wait for a maiden tennis Grand Slam continues,

:34:34.:34:45.

the British number one's been knocked out in the first

:34:46.:34:48.

round of the US Open, losing to the unseeded

:34:49.:34:50.

Konta was among the favourites for the title and could have ended

:34:51.:34:54.

Konta took the first set, but the world number 78 fought back

:34:55.:34:58.

to leave Konta still looking for that elusive first

:34:59.:35:00.

There was a successful return to Grand Slam tennis

:35:01.:35:04.

for Maria Sharapova following her 15 month doping ban.

:35:05.:35:06.

The Russian beat world number two Simona Halep in three sets.

:35:07.:35:08.

And the problems continue to mount for Arsene Wenger,

:35:09.:35:11.

beaten 4-0 by Liverpool on Sunday, now midfielder Alex

:35:12.:35:13.

Oxlade-Chamberlain looks set to leave the Emirates and join Chelsea.

:35:14.:35:15.

The England midfielder's contract expires next summer,

:35:16.:35:17.

he's refused to commit his future at the Emirates.

:35:18.:35:20.

Liverpool have agreed a club record fee of 48 million pounds for Leipzig

:35:21.:35:23.

But the Guinea international won't move to Anfield until next summer.

:35:24.:35:28.

And Liverpool have confirmed a deal for RB Leipzig's Naby Keita to join

:35:29.:35:31.

England's batsmen dominated day four, with six of them scoring half

:35:32.:35:43.

centuries in the second innings - Ben Stokes getting himself 58.

:35:44.:35:46.

But it was Moeen Ali who who put the match in England's favour,

:35:47.:35:49.

A win for England will seal the series.

:35:50.:36:00.

Some MPs are calling for an urgent review after it emerged that a 5

:36:01.:36:03.

year old Christian girl had been placed with Muslim foster

:36:04.:36:06.

carers reportedly against the wishes of her family.

:36:07.:36:14.

Children being fostered are normally placed with families of the same

:36:15.:36:16.

cultural background - but a shortage of foster carers can

:36:17.:36:19.

In a moment we are hoping to speak to a charity that helps

:36:20.:36:28.

disadvantaged children through fostering or adoption.

:36:29.:36:29.

Joining me from Westminster is Neil Carmichael,

:36:30.:36:31.

the former Conservative MP, who launched an inquiry into foster

:36:32.:36:34.

care when he was chairman of the Education Select Committee.

:36:35.:36:42.

There are not that many facts we know about, this particular story.

:36:43.:36:50.

But what is your reaction to the broad headline? It is difficult to

:36:51.:36:56.

get down to the facts, because these are personal situations, individuals

:36:57.:37:00.

trapped in a situation which is not good. It is an acceptable for this

:37:01.:37:05.

to have arisen, where a young child is in a situation where neither her

:37:06.:37:09.

cultural or language is being properly respected. Of course, the

:37:10.:37:14.

United Nations makes it clear such considerations must be taken into

:37:15.:37:19.

account. So the council has not done that and I think it is a failure of

:37:20.:37:25.

children's services. To be fair, we don't know if the council did not do

:37:26.:37:30.

that, we do not know? The outcome is what we can judge this on and the

:37:31.:37:34.

outcome is unacceptable, that this young girl is in the situation she

:37:35.:37:40.

has found herself in. Despite pleading to her family, pleading to

:37:41.:37:43.

the council. There are questions to be asked. One is, where independent

:37:44.:37:50.

sources of fostering consulted, or accessed? Of course, the enquiry

:37:51.:38:00.

which I intend to have before the general election, would have

:38:01.:38:02.

discussed the number of foster carers we do have and the support

:38:03.:38:07.

they get for situations they are in. We know there aren't enough. That is

:38:08.:38:12.

right. That is why we need to encourage more people to become

:38:13.:38:16.

foster carers and that is one of the thrusts the enquiry would have had.

:38:17.:38:22.

Again, as I say, we don't know the full facts of the story. Would it be

:38:23.:38:29.

unacceptable to you if there were no other foster carers available, would

:38:30.:38:33.

it be unacceptable for this Christian child to be placed with

:38:34.:38:38.

Muslim foster carers? In this situation, I think the answer must

:38:39.:38:42.

be yes. The Children's Commissioner will be launching an enquiry. Quite

:38:43.:38:48.

right too. The outcome of the decisions that were made in Tower

:38:49.:38:52.

Hamlets about this particular child have not been taken into account,

:38:53.:38:56.

the proper processes. It is very clear cultural language and issues

:38:57.:39:02.

should be taken into account. These were not taken into account because

:39:03.:39:05.

the outcome would have been different if they had been. What we

:39:06.:39:10.

have to do is ask a few questions about the number of foster carers

:39:11.:39:14.

that are available in Tower Hamlets and elsewhere. Whether or not the

:39:15.:39:18.

council was consulting other councils. It is not just foster

:39:19.:39:22.

carers within their geographical area that can help. There are other

:39:23.:39:27.

possibilities. The central point you make, and it is the right one, is we

:39:28.:39:36.

don't have enough foster carers. It is important to think carefully

:39:37.:39:39.

about the support they get from the councils they operate under and that

:39:40.:39:41.

they do get appropriate payment and support where that is needed. We can

:39:42.:39:48.

talk to carol from Action For Children which helps disadvantaged

:39:49.:39:51.

children through fostering or adoption. Thank you for talking to

:39:52.:39:56.

us, we cannot talk about this particular case, but tell us about

:39:57.:40:00.

the guidance when it comes to how children are fostered in terms of

:40:01.:40:06.

looking at their cultural or religious background? The guidance

:40:07.:40:10.

generally is you try to make as good a match as possible for the child.

:40:11.:40:15.

You take into consideration the cultural aspects of their

:40:16.:40:21.

background. In general, that would be the preference, that you find the

:40:22.:40:26.

best match for the child. It's not just their cultural, but also all

:40:27.:40:30.

their needs can be met by that foster carer. How do you react to a

:40:31.:40:35.

Christian child, we are being told being placed with Muslim foster

:40:36.:40:40.

carers? I don't know the individual situation so I cannot comment. You

:40:41.:40:48.

can see a scenario where that could be justified? There could be

:40:49.:40:53.

circumstances. A child could be placed with a non-Moslem family or

:40:54.:40:57.

other circumstances, it depends on the needs of the child. If it is

:40:58.:41:04.

true the child didn't speak the language the cost -- foster carers

:41:05.:41:11.

spoke, that would be unusual? Yes, because how would the needs of the

:41:12.:41:17.

child be met if there would be a language barrier. Clearly, the

:41:18.:41:21.

child's needs have to be paramount and the foster carer has to be in a

:41:22.:41:26.

position to meet those needs. Thank you very much to you both.

:41:27.:41:29.

Tower Hamlets council said in a statement that they can't

:41:30.:41:36.

The Department of Education told us that...

:41:37.:41:51.

is an important consideration in this decision and local

:41:52.:41:54.

authorities will take this into account alongside the full

:41:55.:41:56.

range of the child's needs when making fostering arrangements."

:41:57.:42:04.

Parents of three and four-year-olds in England have just a few days left

:42:05.:42:07.

From this Friday, working mums and dads can claim up to 30 hours

:42:08.:42:11.

But charities say the governmental scheme has not been properly funded

:42:12.:42:16.

and will put too much pressure on parents and nurseries

:42:17.:42:18.

There have been also been technical problems with the application

:42:19.:42:22.

process which mean thousands of families have so far

:42:23.:42:24.

Let's talk to Ian Morgan, who runs a nursery in Berkshire

:42:25.:42:32.

and says he can't afford to offer 30 hours of free childcare.

:42:33.:42:35.

Edward Burdall owns several nurseries in Sheffield.

:42:36.:42:39.

He says it is possible to offer the 30 hours without charging

:42:40.:42:42.

Nicola Canning has just had her 30 hours confirmed after applying

:42:43.:42:47.

And Becks Hudson has a three-year-old son and says

:42:48.:42:51.

the government scheme is not sustainable.

:42:52.:42:56.

Thank you for coming on the programme. You both run nurseries,

:42:57.:43:02.

you both have opposite viewpoints on this. Edward, you say you can afford

:43:03.:43:09.

to offer this 30 hours of free childcare. Ian, you say you can't.

:43:10.:43:16.

Why? Basically, my hourly rate for delivering childcare is ?5 an hour.

:43:17.:43:22.

The government is offering me for pounds 35 so for every hour I am

:43:23.:43:27.

making a 65p loss, which for 15 hours in the year, that equates to

:43:28.:43:33.

about ?400 and 430 hours, that equates to ?600 plus. Why can't you

:43:34.:43:44.

offer it for ?4 34? I have excellent resources at my nursery. I have very

:43:45.:43:49.

well-qualified staff. I offer children meals and things. A parent

:43:50.:43:55.

is getting an outstanding service from us. Edward, presumably you have

:43:56.:44:00.

qualified staff and offer meals, how are you managing to do it? We get,

:44:01.:44:09.

in Sheffield, a base rate of ?4 seven, but like a lot of local

:44:10.:44:12.

authorities, that varies across the city. That is down to the settlement

:44:13.:44:17.

the local authority get. We offer the 30 hours to all our parents and

:44:18.:44:24.

we can achieve that. How do we achieve that? We achieve that by

:44:25.:44:27.

knowing our own setting and we have an outstanding setting which

:44:28.:44:31.

delivers food with no extras and we are able to do that. We don't cut

:44:32.:44:37.

corners, but we have found with the tools we are given, the rate we have

:44:38.:44:40.

got, it is something we have to deliver and we do do that. Without

:44:41.:44:47.

cutting corners, so it is not about cutting members of staff? No, we

:44:48.:44:52.

follow the ratio across all our settings. We are inspected by Ofsted

:44:53.:44:57.

and we have fully trained staff. We have been credited with outstanding

:44:58.:45:03.

in one of our settings and the other two are good. We offer the 30 hours

:45:04.:45:08.

and we have space. What I would say, the uptake of 30 hours has been very

:45:09.:45:13.

slow in our area, but the rate per hour, which is what we all talk

:45:14.:45:17.

about is what we live and breathe and that is not a level playing

:45:18.:45:21.

field across the UK. That the problem.

:45:22.:45:30.

Sheffield's settlement from the government clearly is not as much.

:45:31.:45:38.

That is dictated by 95% of the councils. Obviously, it is different

:45:39.:45:47.

across the UK. Ian can do it on a lesser rate than you. Because he's

:45:48.:45:52.

in the North of England that does not make sense. We know that some

:45:53.:45:56.

can deliver it in parts of the country on the figures they are

:45:57.:46:02.

given. I cannot. I want my nursery to make a profit. I need to make a

:46:03.:46:11.

profit. And I am not prepared to compromise. My profit goes back into

:46:12.:46:17.

the nursery. I've invested ?170,000 into the nursery. Let's bring in

:46:18.:46:30.

colour -- in Nicola. You are in favour in principle, presumably? I

:46:31.:46:37.

have four children, I am eligible for 30 hours, but it does not work

:46:38.:46:44.

in Suffolk. The rate to the council is ?4 31 but we get ?3 87. I am

:46:45.:46:54.

making a significant loss. As a parent I would needs to make it up

:46:55.:47:01.

in some form. You are asking parents to chip in. It is the only way we

:47:02.:47:13.

can make it work. Why is your rates ?3 87? We've done a Freedom of

:47:14.:47:24.

Information request as to why the rate is so different. The government

:47:25.:47:30.

promised there would be a minimum of ?4 per hour. Norfolk is one of the

:47:31.:47:37.

lowest paid providers. They are getting the money from the

:47:38.:47:41.

government but not giving it to you? Yes. There is a gap in the Suffolk

:47:42.:47:49.

funding rate. Winners that going? We have asked. We are scrambling around

:47:50.:47:58.

but it equates to ?500,000. Where are you? My child has been at this

:47:59.:48:07.

nursery since he was ten months old. He has had an amazing care. The

:48:08.:48:16.

nursery is needing to make up the shortfall. My nursery has been

:48:17.:48:27.

fantastic. You mean if parents cannot make up the shortfall? Yes,

:48:28.:48:39.

some nurseries have consulted and made it very clear in order to keep

:48:40.:48:46.

the quality, the shortfall needs to be made up. That is a ?1 50

:48:47.:48:53.

shortfall. Some parents can afford it and others cannot. I can and I'm

:48:54.:49:02.

more than happy to make up the shortfall to enable my nursery to

:49:03.:49:11.

keep running. Final thought. You've just had 30 hours confirmed. There

:49:12.:49:20.

have been a few problems. Briefly, the Department for Education says,

:49:21.:49:24.

if you can show that you tried to register you will still get your

:49:25.:49:31.

place. It is not just registering, you then need to pass it on, there

:49:32.:49:36.

is another hold-up then. It took me several phone calls, several

:49:37.:49:41.

e-mails, sometimes they give it to you on the phone and others give it

:49:42.:49:49.

online. The Minister for children said the 30 offer is being delivered

:49:50.:49:55.

across the country with 15,000 children benefiting. Providers are

:49:56.:49:58.

committed to offering 30 hours and the additional three are having a

:49:59.:50:06.

really positive impact. Group has brought here is -- parents and

:50:07.:50:13.

providers together. They've bought out the early implementers and it

:50:14.:50:19.

did work. They paid them a high rate. We brought you the news that a

:50:20.:50:26.

four-year-old boy has died after being found in a swimming pool. A

:50:27.:50:32.

reporter is in Plymouth. What can you tell us? Devon and Cornwall

:50:33.:50:41.

police were called to the activity centre just before 3pm yesterday

:50:42.:50:46.

afternoon to reports of a missing four-year-old boy. They carried out

:50:47.:50:52.

an extensive search. The child was found in a swimming pool at the

:50:53.:50:57.

site. He was taken to the hospital where he was pronounced dead. The

:50:58.:51:04.

next of kin have been informed and the death is treated as unexplained

:51:05.:51:08.

at this stage. It happened in a week-long summer holiday camp out

:51:09.:51:15.

organised by narcotics anonymous for members and their families. The

:51:16.:51:20.

charity has released a statement and it says... Tragically, something has

:51:21.:51:28.

gone horrifically wrong. The statement goes on to say that we are

:51:29.:51:32.

devastated that a truly wonderful week ended so tragically. Thank you.

:51:33.:51:38.

New figures obtained by the BBC suggest levels of uninsured driving

:51:39.:51:41.

may be rising for the first time in more than a decade.

:51:42.:51:44.

Claims handled by the Motor Insurers Bureau increased by almost 10%

:51:45.:51:48.

The average cost for a driver aged between 18-20 is ?973 per year. If

:51:49.:52:07.

that leading to a rise in uninsured drivers?

:52:08.:52:10.

He organises car rallies in Essex and pays ?1,600 a year

:52:11.:52:14.

for his motor insurance and says he understands why some

:52:15.:52:16.

young people take the risk of driving uninsured.

:52:17.:52:18.

Laura Wellington is also here, she was hit by a car being driven

:52:19.:52:25.

by a drunk and uninsured driver as she crossed the road.

:52:26.:52:31.

What happened? I broke my back and I had head injuries, I fractured my

:52:32.:52:42.

skull and tore my shoulder. Spinal and head injuries. Pretty horrific.

:52:43.:52:50.

Yes. I was in a back brace for three months from my spinal fractures. It

:52:51.:52:57.

was three years ago and I am still recovering. I still have a lot of

:52:58.:53:02.

pain and memory problems and migraines. And you were simply

:53:03.:53:11.

crossing the road. I was with two friends at the time. We were going

:53:12.:53:16.

back to the house, got off the bus, crossing the road, he hit me. He

:53:17.:53:32.

pleaded guilty. What punishment did he receive? A 17 month driving ban

:53:33.:53:38.

and a small fine. A few points. Is that it? Yes. The sign was less than

:53:39.:53:48.

the average cost. It was about ?300? It was very small. He was not

:53:49.:53:56.

insured which means there is no big insurance company standing by to pay

:53:57.:54:05.

out compensation. So he's got nothing to do with that side of

:54:06.:54:13.

things? I have a claim against the MIB but, yes, he has nothing to do

:54:14.:54:25.

with it. It is a very slow process. Do you feel the driver has got away

:54:26.:54:32.

with this? Wrote this I've tried to not connect with him because it is

:54:33.:54:41.

something I have no control over. I have so much I can focus on like

:54:42.:54:48.

getting myself better. I don't think the punishment is strong enough

:54:49.:54:55.

because the amount of money that he was fined is a fraction of how much

:54:56.:55:04.

it is to insure your car for a year. I can see why people do not, because

:55:05.:55:12.

people are willing to take that risk. As I mentioned in the

:55:13.:55:21.

introduction, up to ?1000 for people between the age of 20 to insure

:55:22.:55:25.

their car for a year. That's a lot of money. But what you experienced

:55:26.:55:39.

is outrageous. Yes, and still ongoing. It will be going on for

:55:40.:55:45.

many years to come. He's served his 17 month ban and just getting on

:55:46.:55:54.

with life for all I know. If the insurance was lower, do you think

:55:55.:56:00.

that drunk driver would have been insured? Yes, I don't know

:56:01.:56:13.

personally about him but there would be a lot more people insured. The

:56:14.:56:20.

money is definitely stopping people. Come closer. I know it has been a

:56:21.:56:31.

bit last-minute. Is it the price? Is it the cost of insurance? I reckon.

:56:32.:56:43.

I know a few people who are not insured. It is an extremely pricey

:56:44.:56:54.

game. You know young people who cannot afford it? Or have made the

:56:55.:57:02.

choice? A bit of both. I know people who cannot afford it, some people do

:57:03.:57:08.

it because they've got no interest. What do you mean? They don't care?

:57:09.:57:17.

Basically. I don't know if you heard what happened to Laura, hit by an

:57:18.:57:23.

uninsured driver who was drunk, spinal injuries, head injury. Do you

:57:24.:57:27.

think people who decide not to insure their car think about those

:57:28.:57:32.

potential consequences? I don't think they do at first. I think they

:57:33.:57:39.

think it is like everyday driving. It will never happen to them. My mum

:57:40.:57:46.

was a victim as well. Her car was written off by an uninsured driver.

:57:47.:57:53.

It is not fair on the people that end up in accidents because they can

:57:54.:57:57.

claim off anybody. Exactly. The person who hit Laura was given a 17

:57:58.:58:05.

month driving ban, some points and a fine. We know that some people are

:58:06.:58:12.

crushing them, is that more of a deterrent? It is a good idea. I

:58:13.:58:20.

think the vehicle should be disposed of. Thank you very much for your

:58:21.:58:28.

company today. We are back tomorrow at 9am. The BBC newsroom is next.

:58:29.:58:32.

My speed record for a full amputation of the leg

:58:33.:58:34.

above the knee is 92 seconds. I intend to break that record today.

:58:35.:58:38.

You kill many more people than I do.

:58:39.:58:46.

Would you like to examine me? Certainly not!

:58:47.:58:50.

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