Addicted to strong painkillers. And the 13 Year Old Girl whose organs have been transplanted into a record eight people after her death. Englands cricketers dodge the rain at lords to eke out a slender lead in the deciding test against west indies. Good evening and welcome to the bbc news at six. Hurricane irma has torn across the caribbean, leaving death and destruction in its wake. So far at least 19 people have been killed and more thani Million People affected. The massive storm, one of the most powerful Atlantic Hurricanes ever recorded, has passed through the turks and caicos, and haiti, after causing widespread damage in the British Virgin islands. Its forecast to pass between cuba and the bahamas tonight, before hitting the United States over the weekend. And theres another hurricane coming up behind irma in the atlantic. Jose has strengthened to a category four, driving winds of 125mph. Forecasters warn it could strengthen still further. Our correspondent laura bicker is the first journalist to reach barbuda. Already devastated by irma, the islanders are racing to evacuate before hurricanejose makes landfall. The island of barbuda was once a caribbean paradise. Now it is lost. Hurricane irma has reduced it to rubble. Homes are unrecognisable. The ruins lie scattered, torn and ripped apart. Having survived the worst storm in living memory, and knowing another is on the way, people are exhausted, hungry and just desperate to leave. Barbuda has just desperate to leave. Barbuda has just gone. What do you do now . I dont know, im just waiting to get evacuated from here and then im going to try and come back and try and salvage something and help. I dont know. My whole life is here, so. Dont know. My whole life is here, so. We are not coping, definitely not coping. Everybody will tell you the same, they are not coping. Everyone is in the same situation and nobody can help one another. We will get you off the island to safety a nd will get you off the island to safety and you will be taken care of. The Prime Minister has travelled from neighbouring antigua to provide some assurance. He knows it is a race against time before hurricane jose arrives in a few hours. We heard him haggling for every boat, helicopter or plane to help with the evacuation. Kanik land . But fear sta rts evacuation. Kanik land . But fear starts to spread that not everyone will get out in time. This woman has been told she does not have a place on the next boat. The sheer, horrifying scale of the devastation here means barely a building is salvageable. That means the whole island will have to be rebuilt, and the government has already admitted it simply doesnt have the money. The Prime Minister knows he will need to find funds from somewhere. We are hoping that friendly governments and International Partners will step up to the plate and assist us. They should not see this as a form of the Prime Minister and the people coming with a begging bowl, cap in hand. This is a disaster, a National Disaster of epic proportions, and we really need external assistance. This is not a want, it is a need. Fragments of peoples lives lie in ruins. They can only hope that one day they will once again call the island home, but for now they must leave by any means possible, including this barge. And they do not know when they will return. The first two of three raf flights has been sent to the caribbean as the government steps up the relief effort to the british overseas territories. A ship from the royal fleet auxilliary is now travelling to the British Virgin islands, where a state of emergency has been declared. Nick bryant is in the bahamas, which are facing storm surges of up to 20 feet. Nick, what are the preparations there . Fiona, the priority here is to evacuate those outlying smaller islands of this archipelago that are in the direct path of Hurricane Irma. Because in the past few minutes the Prime Minister of this country has been telling his people that the bahamas faces the same destructive wind, the same district of storm surge as that have caused such devastation elsewhere. The turks and caicos. The turks and caicos, where the palm trees that usually attract people to these islands reeled under the violent onslaught of Hurricane Irma. A storm people here had been tracking through satellite images, a monster hurricane that has looked terrifying from space. Now a horrifying, on the ground, reality. Picture postcard holiday destinations like the British Virgin islands, pummelled by 160mph winds. This uk territory has now declared a state of emergency. The bahamas is starting to be blasted. The only sightseeing this morning, from the relative safety of the balcony, watching the approaching storm. Old imperial buildings that have stood for centuries in this former british colony are braced and shuttered, preparing for the worst. Elton smith had onlyjust finished rebuilding his business from the last hurricane that caused such devastation less than a year ago. This is one of the worst storms in living memory, so you have to get as much together as you can and plan for the worst, hope for the best, you know. There are five low lying islands in this archipelago which the authorities are particularly concerned about, which is why the government here has ordered the biggest evacuation in the history of the bahamas. But there are fears already for people who have stayed behind, people who have defied those evacuation orders, people who believe they can ride out this storm. In hurricane hit saint martin, this Natural Disaster has been exacerbated by the man made problem of looting. Which is why, in the dutch part of this territory, the streets are being patrolled by troops who could be helping the relief operation. As for britain, it has a ship loaded with aid off the island of anguilla, but the uk aid effort has been criticised as too slow. Raf planes carrying equipment are now on their way. The constraint is about understanding the situation on the ground. What we dont want to do is rush in with the wrong kind of support, so from a Military Point of view, its very important we understand the effects of the hurricane, where is open to us, where can we get to safely, and that is what we have been doing over the past 2a hours. Now we are ready to make the right judgments about where we can most effectively deliver that aid. So far it is small caribbean islands like saint barts that have been hit and deluged, but all the time, irma is barrelling towards the american mainland, threatening destruction on a much larger scale. The governor of florida has warned its 20 million residents that they should all be prepared to evacuate in the face of Hurricane Irma, which is wider than the entire state. Around 500,000 people have already been ordered to leave their homes and the highways have been clogged with cars making their way out of the state. Our correspondent Aleem Maqbool reports from miami. They are now calling this one of the biggest Mass Evacuations in american history. The roads heading out of southern florida are clogged, fuel in short supply. This is a storm of absolutely historic destructive potential. I ask everyone in the storms path to be vigilant and to heed all recommendations from government officials and law enforcement. Nothing is more important than the safety and security of our people. At miamis airport, people scramble for the last chance to get out by air including british tourists. Were leaving today if we can. Basically most of the flights are sold out so were not even sure we can go. The worst Case Scenario that were going to get hit by a hurricane and its terrifying and were going to be stuck here for weeks, we felt a little bit lost. I had to purchase another ticket yesterday costing 8500 to go one way back to london and ive already paid once. So, im just hoping theyre going to get me on this plane. The area of miami normally packed with tourists is within the evacuation zone and has been left all, but abandoned. Its just extraordinary to see miamis iconic south beach as deserted as this, but it is an indication ofjust how seriously people here are taking the warnings, particularly having seen the type of destruction thats been wrought by this hurricane already. If they are coming here, its to fill pillowcases with sand to barricade their homes before irma hits. Donald trump himself will be affected. His florida resort, mar a lago, has been forced to close and is in the projected path of the storm. The National Guard has been deployed here. Theyre stockpiling commodities that could become scarce in the coming days like drinking water, but theyre also preparing for whats likely to be a massive rescue operation. Right across this state, theres a sense that time is running out to protect property and lives. Aleem maqbool, bbc news, in miami, florida. And as if the destruction in the caribbean wasnt bad enough, an earthquake has hit mexico, its being described as the worst there in a century. At least 32 people have been killed. It had a magnitude of eight and struckjust off the Pacific Coast to the south of the country. Buildings shook in the capital, mexico city, hundreds of miles away. The tremor is reported to have lasted about a minute. Sarah campbell has more. A Bowling Alley in chiapas, the closest state to the quakes epicentre. This is a country used to earthquakes, but not of that magnitude. 600 miles away, the tremors rocked mexico city. Frightened, some people preferred to stay outdoors. Many can still remember the earthquake of 1985 which was similar in magnitude, and which killed around 10,000 people. Translation it was horrible. I never felt anything so scary in my life. It was small at first, but then it started shaking a lot and it felt like we were getting thrown around. It was terrible. As pictures have emerged from the most severely hit areas, the death toll has continued to rise. The fear is there may be more shocks to come. Translation so far there have been 65 aftershocks. The strongest was magnitude 6. 1. However, its possible that over the next 2a hours we could see a shock thats as strong as the earthquake. In less than a minute, juchitans town hall was reduced to rubble and at least 17 of its citizens were killed. Daylight has revealed the extent of the devastation and the huge effort which will be required to rebuild. Sarah campbell, bbc news. The use of potentially addictive painkillers across england has doubled in the last 15 years, according to a leading health group. 50,000 patients were studied who were prescribed at least one of four types of potentially addictive drugs. Opioid painkillers, such as codeine and tramadol, were the most commonly prescribed. In 2015 they were issued to one patient in 20, double the rate in 2000. The length of time people are being prescribed opioid pain killers has also increased, from just over two months in 2000, to a peak of over three months in 2014. Our Health CorrespondentDominic Hughes has been meeting some of those whose lives have been shattered by a growing dependence on Prescription Drugs. Get your shirt out of the way. A few months before, i was this normal guy, working full time, with kids and a wife, and happy. And then all of a sudden, im basically a drug addict. A routine Prescription Drug led james to the brink of destruction. Well have a look at your urine test. Hes now getting help to deal with a crippling addiction to powerful opioid painkillers, commonly prescribed drugs like codeine, morphine or tramadol. James problems started with severe stomach aches. And the painkillers he was prescribed quickly stopped working. Desperate for pain relief, he was soon spending £400 a month on additional supplies from online pharmacies. He went from taking eight pills a day to 50, and almost before he knew it, his life had spiralled out of control. I thought it would be fine, i would be on the tablets short term. Before i knew it, i couldnt get off them. Forjames, the side effects were terrible. Headaches, nausea, constipation, and then a series of seizures he feared would end his life. It can ruin your life without you knowing, because i do believe that probably within a year if i had carried on taking the same amounts, or increasing, it probably would have killed me. Research in just a handful of gp practices injames town alone identified more than 100 people dependant upon painkillers. But responsibility for helping them falls between the nhs and local councils, and schemes like the one thatjames is on are rare. The key seems to be a better understanding of the nature of pain. Thats what they are trying in gloucestershire. Has anybody had pain today . Talking to doctors and pharmacists about pain management, as well as identifying and helping patients who are struggling. Most people with persistent pain will describe it as severe. No one should stop their medication before seeking the advice of their gp, but one of the countrys leading pain experts says it is clear that patients using opioid drugs for a long time are often getting little benefit but suffer all the side effects. Im not suggesting that somebody who is benefiting should have their drugs removed, but out of a population who are taking these drugs, the majority will not be benefiting, and those patients should be supported to come off their medicines. Playing jenga here at hergrandmas. Stevenjones knows just how devastating it can be when the use of opioid painkillers is not monitored closely. An accidental overdose killed his 24 year old daughter, sarah, after her use escalated dramatically. Stephen took the call from a paramedic. My heart just sank. I had never felt like that ever in my life. It was literally the worst day of my life, that. I hope i never have to go through it again. The children. No father expects to be at their childs funeral. Stephenjones talking to Dominic Hughes. Our top story this evening. There is an exodus from florida as the us braces for Hurricane Irma, and another hurricane is coming behind it. And still to come, the couple injured in the Manchester Arena bombing return for the first time ahead of its reopening. Coming up in sportsday on bbc news. Britains chris froome is on course for more history making, as the four time Tour De France champion is on the brink of winning the vuelta a espana. Young offenders from ethnic minorities will become the next generation of criminals, unless the Justice System is reformed. Thats according to a review by a labour mp, that recommends delaying or dropping some prosecutions. David lammys report highlights how 25 of the prison population in england and wales is from black asian and minority ethnic backgrounds. In the youth Justice System last year, that figure was 41 , compared to 14 of the general population. And for drug offences those from bame backgrounds were almost two and a half times more likely to be imprisoned. The government has said it will look carefully at the suggestions, as Elaine Dunkley reports. Hmp isis in south east london. There is no hope in the system, basically. There are more than 600 inmates. 70 of those behind bars are from an ethnic minority background. Not getting bail. Keep getting stopped and searched. Im black. According to todays review, the criminal Justice System is stacked against them. Looking at preconceptions, stuff like that. Stefan is serving six years for drug offences, but believes he is also being punished because of the colour of his skin. I have been in prison a while now. Ive met people the past when i first started my sentence, that got less time than me for a worse crime. Were saying drugs, but a lot worse than ive done, but they got a shorter sentence than i have. According to the lammy review, statistically the uk is worse than america when it comes to locking up people from ethnic minority backgrounds. When we are describing groups of young ethnic minorities, in particular black, the term gang is used. Swathes of young people who may not necessarily be serious gang members, they may be affiliated, loosely affiliated to a gang, they may live in a gang neighbourhood, they may have been incorrectly labelled with that term, end up receiving harsher sentences. At Brixton Police station, shaquille is taking part in a rehabilitation scheme called divert, which helps offenders find training and employment. You would be surprised. Im surprised that i have seen people of 11 and 12 selling weed on the street. He says poverty is the root cause. In certain places where you go to, people grow up with that mentality that they are on the battlefield. As a young person to get involved in crime isjust to better your circumstances. The review has more than 30 recommendations for change. Proposals include removing identifying information about ethnicity when cases are passed from police to prosecutors, so racial bias doesnt influence charging decisions. And not declaring criminal records for minor offences when applying forjobs. Im labelled 100 . If i go for a job and i show them my criminal history record, whatever, theyd be like, yeah, this person, we cant give him a job. The government says it is committed to making a fairer britain a reality. Reviews and recommendations are a start. Now actions are needed to reform the character and culture of parts of the criminalJustice System. Elaine dunkley, bbc news. Victims of the Manchester Arena attack have been back to the venue ahead of its reopening. They made a private visit ahead of the we are manchester benefit concert tomorrow the arenas first show since may, when 22 people were killed when a bomb was detonated in the foyer. Judith moritzjoined one couple who were injured that night. A bit nervous. Quite anxious, you know, im going to see this place where it happened. Building up inside now. Im getting nervous. I dont know how im going to feel when i walk in there. Robbie and leonora are on a long road to recovery, but this part of their journey is especially daunting. Theyre being taken back to the arena where they were injured. They hope that seeing it again will help them come to terms with the experience of the explosion. Their physical injuries are obvious, but theres emotional hurt too. The couple left us to visit the scene in privacy. The shattered roof and damaged walls of the lobby are now hidden behind bright hoardings. Many of the bomb victims have chosen to see it in the hope that it can help their recovery. Concert goers will be allowed back into the building tomorrow for the first gig to be held since the attack. Manchester arena has been closed for nearly four months. In reopening it this weekend the operators have had to balance the commercial pressures of continuing to cancel events with the sensitivities felt by some of those bereaved and caught up in the attack here. After spending an hour looking at the lobby, leonora and robbie emerged. How did you find the experience today . When i started walking up, i will be honest, i started filling up and i asked the Police Officer where was the bomber . Because i had seen him and i got showed where he was standing when the bomb went off, this distance, he was right next to me. He was stood right next to you . Yeah, i always thought he was ten meters away, but he was right next to me. I couldnt believe that we were actually beside the bomber and it explains to me why i got these injuries, but i dont feel so lucky though because knowing he was beside me, were still alive. It brings back the memories. It brings back, you know, that night. It was hard, but the couple are glad they went. They say they know it was help them heal. Judith moritz, bbc news, manchester. Cricket, england bowler Jimmy Anderson has taken his 500th test wicket, in the third test against west indies at lords. He bowled kraigg brathwaite. Anderson is the first english player to reach the milestone. Few moments ago west indies were 302 in few moments ago west indies were 30 2 in their second innings. A 13 Year Old Girl who died from a brain aneurysm has helped a record eight people, including five children, through Organ Donation. Jemima layzell, from somerset, died in 2012. Her parents said she was clever, compassionate and creative and would have been very proud of her legacy. Jon kay reports. Ready . Yes. Dear mum, happy birthday. It was just before her mums Birthday Party five years ago that jemima suddenly collapsed. A girl who has everything. She had an aneurysm that had never been diagnosed. Doctors tried to save her life, but her parents were told it was impossible. We had seen the scans and there was such a huge shadow on the left side of her brain and she would never ever recover. By chancejemima had spoken to her parents about Organ Donation just a few days before she collapsed. When she died they felt they had to follow the schoolgirls wishes. She did specifically say that she wanted to be an organ donor. How did you make the decision when you knew she wasnt going to survive . It made that decision so much easier. It is like an automatic thing yes, absolutely because thats what her wishes are. Five years onjemimas family have been told that her organs including her heart, lungs and kidneys have helped more people than any other single donor. What kind of comfort does it give you to know that there are eight people out there whose lives have either been saved or changed byjemima . Thats hugely comforting and it is exciting to know that life is continuing because of her. Her legacy, her name, will continue because she hasnt died in vain. Freddie is one of those jemima saved. He had been givenjust weeks to live before he received her liver in a transplant. This week he started secondary school. His familys message. Thank you, but that just doesnt seem enough because youre grateful that they actually stuck to jemimas wishes and let her donate her organs which allowed our child to live, but for our child to live, their child had to die. So its really tough, but we can never be thankful enough. This month the two families will meet for the first time at a charity ball organised in jemimas memory. Her parents know that not everyone would make the decision they did, but with more than 6,000 people waiting for transplants, theyre now campaigning for more of us to register as donors. Jon kay, bbc news, somerset. Time for a look at the weather. Matt taylor is here. And all eyes on the atlantic and the new hurricane coming up behind Hurricane Irma. Yes. What an incredible satellite image. It shows the sheer scale of the storm. There is cuba, there is florida. Both in the path of this storm. Winds more than 150 miles per. It could strengthen before making landfall this weekend in florida. Potentially more catastrophic damage to come. Low pressure catastrophic damage to come. Low pressure close to our shores this weekend. Lots of showers around at the moment. Some particularly heavy ones in southern counties. They will gradually ease away. Still showers towards the north and west. North west england and north west wales, maybe the north west of the midlands, could see heavy bursts of lengthy rain, while central and eastern areas are clear. Further north you may be lucky enough to see glimpses of the aurora borealis. If you are heading out, wrap up well. A chilly start to the weekend. A cool weekend across the uk. Further rain at times. Through the weekend turning increasingly windy, particularly on sunday afternoon. On saturday we have got a dry and bright start. In the west, plenty of showers. Particularly wet in north west england and north west midlands. Showers developing across england and wales. Slow moving showers across Northern England and the midlands. They could be heavy and sundry. Northern ireland and western scotland, fewer showers than today. Even here, you will notice a chill. Skies clearfor a time today. Even here, you will notice a chill. Skies clear for a time for the next area of low pressure waiting in the wings. You may start off dry and bright on sunday, but becoming cloudy with outbreaks of rain spreading east. Temperatures pretty disappointing. If anything, the winds could get stronger. The first proper autumn winds of the season. A mixture of sunshine and showers. Enjoy your weekend. Thats all from the bbc news at six, so its goodbye from me, and on bbc one we nowjoin the bbcs news teams where you are. Hello. This is bbc news with martine croxall. The headlines Hurricane Irma continues its path of destruction across the carribbean with widespread damage to several islands. More than1 Million People have been affected so far. In florida, half a Million People have been ordered to leave their homes with the storm due to hit their this weekend