24/10/2016

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:00:00. > :00:10.The headlines tonight: The human cost of type two diabetes -

:00:11. > :00:17.the patient who lost his job following amputations.

:00:18. > :00:18.Disease it is a dreadful nasty disease.

:00:19. > :00:26.We'll look at how the disease

:00:27. > :00:29.is on the increase and what can be done to prevent it.

:00:30. > :00:31.Also tonight; Devastated and gutted - the tenant farmers who sax

:00:32. > :00:35.Herefordshire Council has turned its back on them,

:00:36. > :00:44.All our hard work will be gone, the sheep and cattle, they are homebred

:00:45. > :00:46.and they will be gone. with some patients waiting weeks

:00:47. > :00:50.to be discharged from hospital. What do hedgehogs and tigers

:00:51. > :00:52.have in common? They're both in rapid decline,

:00:53. > :00:57.so what can we do to help them? And it's been a relatively dry

:00:58. > :01:01.but chillier October so far with easterly not westerly winds

:01:02. > :01:03.but there's a change on the way We're facing a crisis in di`betes

:01:04. > :01:21.which could bankrupt the NHS. That's the stark warning

:01:22. > :01:24.from health experts. More than half a million people

:01:25. > :01:27.in the west Midlands are living with type two diabetes -

:01:28. > :01:29.and it's costing us Type two is linked to lifestyle

:01:30. > :01:34.obesity is a major factor, it can lead to amputation,

:01:35. > :01:36.kidney failure and blindness. Dominic Hughes has been to leet one

:01:37. > :01:41.diabetic patient who lost hhs job His report contains images some

:01:42. > :01:50.of you may find distressing. So, what we have got here is 14

:01:51. > :01:53.shoes and they represent 140 amputations that take place

:01:54. > :01:55.in England every week due to complications

:01:56. > :02:02.associated with diabetes. Most diabetics have type two,

:02:03. > :02:09.where you come from and your family history can increase your rhsk

:02:10. > :02:11.but doctors said most Now, new data given exclusively

:02:12. > :02:18.to the BBC by Public Health England estimates there will be an dxtra

:02:19. > :02:20.quarter of a million people with type two diabetes by 2035

:02:21. > :02:29.if we continue to get fatter. One of our shoes belongs

:02:30. > :02:31.to Stephen Woodman. We caught up with him as he arrived

:02:32. > :02:34.at the Royal Shrewsbury Hospital for an appointment

:02:35. > :02:37.with his podiatrist. Like 90% of diabetics,

:02:38. > :02:43.Stephen has the type II version which is linked to lifestyld

:02:44. > :02:49.and so largely preventable. But diagnosed as a young man,

:02:50. > :02:53.he ignored his GP s advice. I was outgoing to the pub and doing

:02:54. > :03:01.the things people of my did. Like many diabetics, Stephen

:03:02. > :03:06.developed an ulcer on his toe. The ulcer would not

:03:07. > :03:13.heal and in the end had We are facing a diabetic ephdemic

:03:14. > :03:24.and we really need to try to find ways of preventing those patients

:03:25. > :03:26.from reaching surgeons because the cost to the pathent

:03:27. > :03:34.and to the NHS is skyrockethng. Stephen s diabetes has stabhlised

:03:35. > :03:39.but it is too late to save his job. Unsteady on his feet

:03:40. > :03:41.after losing his toes, he has been told by his employer

:03:42. > :03:49.he's no longer fit for work. Our Science Correspondent D`vid

:03:50. > :03:51.Gregory-Kumar is here. David, there are different types

:03:52. > :03:55.of diabetes, which one Gestational Diabetes which comes

:03:56. > :04:05.on during pregnancy and LAD@, Latent Autoimmune Diabetes of

:04:06. > :04:06.Adulthood. There are other even

:04:07. > :04:08.rarer forms too. Steven Woodman from our report has

:04:09. > :04:11.Type two diabetes. As do about 90% of people

:04:12. > :04:18.with the disease. You are more likely to develop type

:04:19. > :04:21.two if you are overweight, have a family history of di`betes

:04:22. > :04:24.or if you are thicker According to one expert who talked

:04:25. > :04:39.to tonight's Inside Out. From government level to gr`ss

:04:40. > :04:42.roots, we have to do somethhng about this because otherwise we'll bust

:04:43. > :04:45.the health service and succdssive governments need to take

:04:46. > :04:50.responsibility. We know the problem, we know the cause of type two

:04:51. > :04:51.diabetes and I do not think the food industry is taking this serhously in

:04:52. > :04:54.any way. the team also go behind the scenes

:04:55. > :04:59.at the Warwick clinic that helps That's a nickname, not

:05:00. > :05:04.an official medical term... But it refers to people with any

:05:05. > :05:06.form diabetes AND also According to the clinic, thd risk

:05:07. > :05:16.of dying from Type one diabdtes on its own is 2.5% for anordxia

:05:17. > :05:20.on its own it's 6.5% But for people with both diabetes and anordxia

:05:21. > :05:22.it's around 34.8% Now But reaching out for support

:05:23. > :05:28.is an important step. And Inside Out also has

:05:29. > :05:30.a fascinating film looking at the 220,000 people with diabetes,

:05:31. > :05:32.their friends and family, who use Europe's largest

:05:33. > :05:34.online diabetes forum, A community dedicated to helping

:05:35. > :05:44.people with diabetes live And you can see more

:05:45. > :05:52.about the threat diabetes is posing to the health service,

:05:53. > :05:54.in an Inside Out special tonight "Gutted and devastated",

:05:55. > :06:00.the words of one tenant farler in Herefordshire who's been ordered

:06:01. > :06:03.to leave the farm which has been his Steve Clayton is one of mord than 40

:06:04. > :06:08.tenant farmers who rented their land It's selling up because of

:06:09. > :06:15.the financial pressures it's under But the farmers say the council s

:06:16. > :06:19.gone back on assurances. For 29 years, tenant farmer Steve

:06:20. > :06:29.has built up his 200 strong flock of ewes from scratch but his 14

:06:30. > :06:35.acre in Herefordshire Steve and his fellow farmers had

:06:36. > :06:45.been told they should get the chance to carry on farmhng

:06:46. > :06:53.under a new landlord. Instead, they have been givdn notice

:06:54. > :06:56.to quit in February before They are all disappointed,

:06:57. > :07:00.upset, wondering how they see their livelihoods

:07:01. > :07:03.considering we were given the insurance we would

:07:04. > :07:05.have a new landlord They are devastated and feel

:07:06. > :07:15.the council has misled us. Herefordshire Council says

:07:16. > :07:19.it is having to sell the farm is because it is coping with an ever

:07:20. > :07:22.increasing bill for care It says it is offering financial

:07:23. > :07:26.help to the affected farmers so they can see device on btying

:07:27. > :07:40.the farms themselves. Most could not afford to bux. Some

:07:41. > :07:45.tenants have special deals `nd they can stay on but a third including

:07:46. > :07:51.Steve have no idea where thdy will be next year. All our hard work are

:07:52. > :07:55.29 years will be gone, the livestock, sheep and cattle we have

:07:56. > :08:02.built up which are homebred will be gone. Steve s partner is a

:08:03. > :08:09.seamstress, used to working in the area and worried about the tp to

:08:10. > :08:16.their lives. It will be dev`stating. And we are in a location we love

:08:17. > :08:20.being. Tenant farms are seen as a good way of introducing new blood to

:08:21. > :08:22.the industry. The council s`ys in this case, a sell off is thd best

:08:23. > :08:26.deal for the taxpayers. A 28-year-old man from Coventry s

:08:27. > :08:28.been cautioned for religiously aggravated criminal damage ,

:08:29. > :08:30.in connection with an inciddnt 55 people were arrested

:08:31. > :08:35.after a protest against inter-faith weddings

:08:36. > :08:37.and the management of the tdmple - Officers say a 39-year-old

:08:38. > :08:41.from Birmingham was re-baildd A 31-year-old from Oldbury

:08:42. > :08:48.will face no further action. There has been a sharp

:08:49. > :08:50.increase in hospital bed The average number of days patients

:08:51. > :08:54.are left waiting to be discharged from hospital,

:08:55. > :08:57.has gone up by almost a third Monthly NHS figures to the dnd

:08:58. > :09:03.of August show the hospitals which had a peak in "bedblocking"

:09:04. > :09:06.during the summer included Gloucestershire, Coventry

:09:07. > :09:07.and Birmingham. Our Health Correspondent Michele

:09:08. > :09:09.Paduano has been to meet ond patient who had to wait three weeks before

:09:10. > :09:12.being discharged from the Birmingham's Queen

:09:13. > :09:17.Elizabeth hospital. Garvey Humphrey is

:09:18. > :09:21.fiercely independent. At 91, he still drives

:09:22. > :09:23.and lives alone. But when he went into

:09:24. > :09:25.the Queen Elizabeth Hospital, Three weeks spent unnecessarily

:09:26. > :09:30.in hospital, then stuck in a community bed for want

:09:31. > :09:44.of a food parcel and a home I wanted to look after myself. I

:09:45. > :09:49.believe if I was looked aftdr long-term, I would lose the will to

:09:50. > :09:51.carry on because having things done few is not the same as doing them

:09:52. > :10:09.yourself. Councils are finding it difficult to

:10:10. > :10:14.get patients out of the beds and into permanent care beds. There is a

:10:15. > :10:15.double bed blocking situation and with winter coming, that can only

:10:16. > :10:21.get worse. Save our beds! And in Stafford today,

:10:22. > :10:23.a demonstration as more comlunity beds are due to close

:10:24. > :10:25.in Newcastle Under lime. It brings the North Staffordshire

:10:26. > :10:28.total to 168 - although it has At the same time, bed blockhng has

:10:29. > :10:41.quadrupled at the Royal Stoke Without breaking confidenti`lity, we

:10:42. > :10:46.have patients that have been waiting three weeks for packages of care so

:10:47. > :10:51.if these people are discharged home to be assessed for the pack`ges our

:10:52. > :10:53.worry and fear is they will come to harm while waiting.

:10:54. > :10:55.Back In Birmingham, the charity, Home from

:10:56. > :10:57.Hospital Care has looked after 1400 people this year.

:10:58. > :11:12.If we did not get funded it would leave a huge gap and it would cost

:11:13. > :11:16.the NHS and the local authority a significant amount of money. How do

:11:17. > :11:18.we stop patients like this getting trapped?

:11:19. > :11:22.Let's hope it happens soon, Michele Paduano, BBC Midlands Today.

:11:23. > :11:25.A new memorial bridge has opened in South Korea in honour

:11:26. > :11:28.of a Gloucestershire regiment, which fought in the Korean War.

:11:29. > :11:31.The 170 metre high Gloucester Heroes Bridge,

:11:32. > :11:34.spans a deep valley near thd site of the Battle of

:11:35. > :11:43.Here's our Gloucestershire reporter, Steve Knibbs.

:11:44. > :11:50.It was often called the forgotten war that South Korea has worked hard

:11:51. > :11:56.to change that through commdmorative visits from veterans and thd new

:11:57. > :12:00.memorial near to the site of the Battle of the river. By the

:12:01. > :12:04.recognition with the opening of the Gloucester heroes Bridge, a proud

:12:05. > :12:10.time for those who fought btt also hopes it acts as a memorial to other

:12:11. > :12:14.regiments who fought in Korda. The Gloucester is bore the brunt of the

:12:15. > :12:21.battle. But the other units involved, the rifles and Fusiliers

:12:22. > :12:26.and the Belgians were all involved and they lost a lot of men. The

:12:27. > :12:30.memorials are important but also tangible other thoughts of the South

:12:31. > :12:35.Koreans, this is an extract from a letter written recently by `

:12:36. > :12:42.15-year-old schoolgirl to the Korean veterans. It is peaceful and happy

:12:43. > :12:45.now, thanks to you. I want to meet you you my appreciation abott

:12:46. > :12:50.protecting Korea and your bravery makes us live in this beauthful

:12:51. > :12:58.city. To read that a 15-year-old, am touched. It is part of their

:12:59. > :13:01.history. Children come up whth their hands together saying thank you very

:13:02. > :13:06.much. Their dads were not born when we were there so it is lovely they

:13:07. > :13:11.brought them up to appreciate the freedom they enjoy. And the bridge

:13:12. > :13:13.is another symbol of thanks from a country that owes its present the

:13:14. > :13:16.sacrifice the past. Thanks for joining us

:13:17. > :13:19.on Midlands Today. Still to come on tonight's programme

:13:20. > :13:25.we'll find out why things are looking tricky if you'rd

:13:26. > :13:27.a hedgehog. there are now thought to be fewer

:13:28. > :13:30.than a million of them left in the UK charities

:13:31. > :13:33.across the West Midlands ard calling on us to do what we can

:13:34. > :13:45.to help them this winter. It has been cold so far this October

:13:46. > :13:47.but with westerly wind, it could all change. A milder picture for the

:13:48. > :13:51.wildlife in the coming days. A 7 year old boy

:13:52. > :13:53.living in Birmingham Humza Shazad has passed computer

:13:54. > :13:57.courses, usually achieved He and his family are hoping

:13:58. > :14:00.he'll become the next Our Special correspondent,

:14:01. > :14:09.Peter Wilson has been to medt him. Like any schoolboy, this

:14:10. > :14:12.seven-year-old likes to plax in the garden with friends

:14:13. > :14:15.after a hard day in the classroom. But he also likes to spend

:14:16. > :14:18.time on his laptop - Today he's polishing up his own app,

:14:19. > :14:22.designed for ordering My name is Humza and I am sdven

:14:23. > :14:32.years old and I am the world's Like father like son -

:14:33. > :14:37.Humza's Dad is an IT expert He gave his son a laptop

:14:38. > :14:42.at the age of two. You have to be a computer expert

:14:43. > :14:45.just to understand I can create structures,

:14:46. > :15:09.interfaces, interfaces, He listed his achievements `re five

:15:10. > :15:13.minutes. None of it made sense to me! I can maintain and cratd

:15:14. > :15:15.databases. But is his father pushing

:15:16. > :15:17.the boy too hard? My first target was that he doesn't

:15:18. > :15:20.waste his time on playing g`mes And he really did something

:15:21. > :15:25.different by passing the Microsoft But I was partially

:15:26. > :15:32.successful because, trust md, he still continues to spend a lot

:15:33. > :15:39.of time on playing games. His proud parents hope that Humza

:15:40. > :15:42.will not pass exams but one It's a difficult

:15:43. > :15:56.time to be hedgehog. Their numbers have fallen bx thirty

:15:57. > :15:59.percent over the past ten ydars and it's this time of year

:16:00. > :16:02.when they can be accidentally killed in Halloween and

:16:03. > :16:03.Bonfire night fires. Our reporter Rebecca Wood

:16:04. > :16:21.is at a Hedgehog Hospital Increasingly rare. Let me introduce

:16:22. > :16:25.you to this camera shy headshot He had a soggy start to August and he

:16:26. > :16:31.was found in a canal and rescued and brought here to a rescue centre but

:16:32. > :16:36.he was lucky. They are declhning at 5 cents in urban and rural `reas

:16:37. > :16:39.every year. That is the samd as Tigers declining across the world

:16:40. > :16:45.globally so it is a sticky situation if you are a hedgehog but this is

:16:46. > :16:53.one of the lucky ones. Charlie is from the rescue centre. How at risk

:16:54. > :16:58.are hedgehogs at this time of year? Autumn is always a heavy tile with

:16:59. > :17:01.rescue, there are late juveniles that have not gained enough weight

:17:02. > :17:06.to hibernate and the public should be on the lookout for small

:17:07. > :17:12.hedgehogs and ones out in d`ylight. It is bonfire night next wedk and

:17:13. > :17:16.Halloween, is that a risk? Xes, this time of year hedgehogs are looking

:17:17. > :17:20.for someone to hibernate, that pile of logs looks like the perfdct place

:17:21. > :17:26.to hibernate so if you have a bonfire, build it on the night or

:17:27. > :17:34.move it. I will come over to the wildlife trust representative. Yes,

:17:35. > :17:38.as part of our campaign we want people to check their bonfires at

:17:39. > :17:44.this time of year, ideally please make sure you build on the day and

:17:45. > :17:49.make sure no hedgehog is in there. How at risk are hedgehogs? Fairly at

:17:50. > :17:53.risk but not too much because people love hedgehogs and want to help them

:17:54. > :17:56.and people can help change ht by making their gardens better and

:17:57. > :18:03.making changes and making pdople aware. Thank you. The message is

:18:04. > :18:05.look out for hedgehogs and hf you find one, make sure you keep it safe

:18:06. > :18:09.because they are at risk. Let's turn to sport

:18:10. > :18:14.now - Ian is with me. Not all our football clubs came away

:18:15. > :18:20.with wins this weekend - Mary, it's not every weekend

:18:21. > :18:25.that our teams deliver so m`ny goals But tonight really

:18:26. > :18:27.is magical Monday. So let's start with a coupld

:18:28. > :18:32.of stunners for Stoke City... And finish with two

:18:33. > :18:34.wonderful goals for Walsall. Stoke City's slow start is behind

:18:35. > :18:40.them after two back-to-back wins. And it was Shaqiri,

:18:41. > :18:42.their talented Swiss striker, who rifled in a couple of brilliant

:18:43. > :18:47.goals to beat Hull City. Both goals were beautiful

:18:48. > :18:49.but I think I have to watch It was important that we won

:18:50. > :18:58.the game and we had a clean sheet. West Brom found Liverpool too hot

:18:59. > :19:01.to handle in the first half. And the Albion Head Coach Tony Pulis

:19:02. > :19:04.believes they could win the Premier 2-0 down at the break,

:19:05. > :19:07.before Gareth McAuley In the Championship: One super

:19:08. > :19:12.strike from Jonathan Kodija was enough for Aston Villa to beat

:19:13. > :19:15.Fulham. That's seven points out

:19:16. > :19:19.of nine under Steve Bruce. On Friday night, Bruce

:19:20. > :19:21.watched his old club Birmingham City A useful scouting mission bdfore

:19:22. > :19:26.the Blues play Villa after the latest one point

:19:27. > :19:41.from the last five games In League One, hundreds

:19:42. > :19:45.of Coventry City fans staged a protest march against the club's

:19:46. > :19:48.owners SISU before kick-off. Some chose to boycott

:19:49. > :19:50.the game against Rochdale, others went inside and were

:19:51. > :19:53.delighted to see the Sky Bltes make it three wins out of four

:19:54. > :19:55.in League One under Dan Ag-eye-ee and Andre Wright

:19:56. > :19:59.on target in their 2-0 win. And finally, we've saved

:20:00. > :20:01.the best til last. Watch and admire two super

:20:02. > :20:03.goals from the Walsall Both of them contenders for goal

:20:04. > :20:08.of the season in League One, taking his tally to seven so far,

:20:09. > :20:15.as the Saddlers beat Swindon 2-nil. Some cracking goals there -

:20:16. > :20:18.West Brom legend Jeff Astle His family have welcomed sole

:20:19. > :20:38.significant research Yes, interest in new research about

:20:39. > :20:43.heading the football. It has an immediate impact on the brahn. Jeff

:20:44. > :20:47.Astle died in 2002 from a condition that a coroner found was down to

:20:48. > :20:55.heading a football. As family one more research on the dangers. It

:20:56. > :20:59.needs to be done correctly by the right people and once the rdsults

:21:00. > :21:03.are there for everyone to sde, it needs to be made clear so that

:21:04. > :21:14.footballers now and in the future can make informed choices.

:21:15. > :21:18.And he's certainly taken on a big challenge.

:21:19. > :21:20.Shrewsbury are bottom of Le`gue One, and they're six points

:21:21. > :21:24.On Saturday, Hurst took charge of his final game at Grimsbx Town,

:21:25. > :21:28.This afternoon, he was lookhng forward to his new job at Shrewsbury

:21:29. > :21:52.where his top priority is to avoid relegation in May.

:21:53. > :22:01.More from that interview later. More success for Coventry s Cal

:22:02. > :22:04.Crutchlow. He won the Czech Republic and now he has become the fhrst

:22:05. > :22:11.Briton since Barry Sheen in 197 to win more than one Grand Prix in the

:22:12. > :22:15.same season. His second victory came at the Australian Grand Prix on

:22:16. > :22:18.Phillip Island and she is up to sixth place in the MotoGP

:22:19. > :22:20.championship with two races remaining.

:22:21. > :22:23.Sad to report the death of Sammy Smyth...

:22:24. > :22:25.The former Wolverhampton Wanderers and Stoke City footballer.

:22:26. > :22:28.Sammy scored the third goal at Wembley to help Wolves

:22:29. > :22:30.win the FA Cup final, 3-1 against Leicester.

:22:31. > :22:33.Two years later, he joined Stoke City for a club

:22:34. > :22:44.Sammy Smyth, who's died at the age of 91.

:22:45. > :22:49.We often bring you stories here on Midlands Today of pdople

:22:50. > :22:51.who have dedicated years to their passion -

:22:52. > :22:55.John Joubert has spent more than a third of his life

:22:56. > :22:58.writing an opera, based on the novel Jane Eyre.

:22:59. > :23:00.It gets its world premiere in Birmingham tomorrow -

:23:01. > :23:02.as part of celebrations for the composers 90th birthday

:23:03. > :23:10.It's one of the great liter`ry classics, but you've probably never

:23:11. > :23:25.For 35 years, Jane Eyre the Opera has been his labour of love.

:23:26. > :23:27.Today was the first time the 89-year-old composer

:23:28. > :23:34.from Birmingham has even heard it performed.

:23:35. > :23:43.After so long and hard work, how does it feel seeing it being

:23:44. > :23:49.performed? When you hear it live for the first time, it is something that

:23:50. > :23:52.has its own kind of magic. @nd to hear it for the first time hs a

:23:53. > :23:53.marvellous experience. Daughter Anna knows how

:23:54. > :23:56.much of his life her dad has dedicated to this work `nd says

:23:57. > :23:58.tomorrow's world premiere in Birmingham will be

:23:59. > :24:08.an emotional experience. He is quite overwhelmed. All

:24:09. > :24:15.composers hear their music composed in their heads but it is always

:24:16. > :24:25.massively more impactful to hear it performed.

:24:26. > :24:26.Since its first publication in 1847,

:24:27. > :24:28.Charlotte Bronte's masterpidce has inspired countless adaptations,

:24:29. > :24:36.So do the Worcester based English Symphony Orchestra

:24:37. > :24:43.and the opera's leading lady feel any pressure?

:24:44. > :24:53.He has made such an amazing work. It is his Magnum Opus. There w`s a

:24:54. > :24:57.sense it is pressure but also a beautiful opportunity to re`lise

:24:58. > :25:06.something which has been so meticulously crafted. Music of this

:25:07. > :25:07.calibre is going to get plaxed thousands of time over the next 50

:25:08. > :25:09.or 100 years. place at the Ruddock Hall

:25:10. > :25:15.in Edgbaston tomorrow night. Some glorious autumn colours -

:25:16. > :25:28.but will we have the weather to get You will indeed. Good evening.

:25:29. > :25:33.Unfortunately we were draggdd down by cloud, it attempted to break up

:25:34. > :25:40.but it did not succeed. It has not stopped weather Watch is showering

:25:41. > :25:46.us with glorious photographs. Unity more creative with no sunshhne but

:25:47. > :25:50.they have done that. -- you need to be more creative. This is how the

:25:51. > :25:56.rest of the week is looking. Largely settled, we will get cold and misty

:25:57. > :26:03.and frosty nights but the d`ys will be warming up slightly. This is why.

:26:04. > :26:09.Today, we had this front in the south producing spots of rahn but

:26:10. > :26:14.after that we get high pressure dominating situating itself across

:26:15. > :26:19.the South and right over us. In the procedure, we will see thesd winds

:26:20. > :26:24.moving in from direction as opposed to easterly we have had so far. It

:26:25. > :26:30.has been quite dry October so far but the West will change th`t and it

:26:31. > :26:36.will result in temperatures rising. They'll pick up on and Thursday For

:26:37. > :26:41.tonight, we are looking at some rain across southern parts of thd region.

:26:42. > :26:46.This will start to peter out with heavy bursts across southern fringes

:26:47. > :26:50.but later in the night, much drier, some breaks in the cloud and

:26:51. > :26:54.temperatures dipping right down to three or four Celsius in thd

:26:55. > :26:59.countryside. Cold enough for a touch of frost but less likely to night.

:27:00. > :27:04.Mist and fog patches tomorrow morning but less likely to night. If

:27:05. > :27:10.we do, that will lift in thd morning and a cloud which will start to

:27:11. > :27:15.break up. Spits and spots of rain in the south-east with temperatures up

:27:16. > :27:22.to 13 Celsius. From Wednesd`y and Thursday, the wind will turn to

:27:23. > :28:18.westerlies. That is all for now We are back at 10:30pm. Good evening.

:28:19. > :28:23.Saving Africa's Elephants: Hugh and the Ivory War, starts. .