Minister of Iraq has called on anti-government protesters to reopen roads and help restore normality to the country he made the call after a month of protests which have brought the capital Baghdad and much of the south of the country to a halt addle Abdul Marty said the unrest was costing the economy billions of dollars thousands of demonstrators have blocked all roads leading to Iraq's main Gulf port near the oil rich city of Basra which receives the bulk of Iraq's imports of grain vegetable oils and sugar on Sunday the 1st day of Iraq's working week students a sit ins and many government offices stayed closed Well news from the b.b.c. . Islamists demanding the resignation of the Pakistani prime minister Imran Khan have maintained their protest in Islamabad despite the passing of the deadline they had set for his departure the protests were organized by the leader of a religious party Marlen of Laura who accuses the government of rigging last year's election tens of thousands of opposition supporters set off on what they describe as a freedom March or as r.t. a Week ago arriving on Friday. The chief executive of the fast food company McDonald's has been sacked for having a consensual relationship with an employee the company said Steve Easterbrook had demonstrated poor judgment and that it was against company rules for managers to become romantically involved with a subordinate Mr Easterbrook said he had made a mistake and that he agreed with the company that it was time for him to move on the British racing driver Lewis Hamilton has secured his 6th Formula one world title at the Us Grand Prix the 34 year old took 2nd place at the circuit in Austin Texas guaranteeing the $2900.00 championship is Jack Nichols how will that only needed an 8th place finish to secure the championship and starting 5th on the grid it would have been reasonable to expect a cautious conservative race but that is not the way Hamilton is wired He gave one place at the start overtook Sebastian Vettel in super fashion and employed a bold strategy to try and beat his teammate to the victory while the tiger didn't pay dividends he wrapped up the title in aggressive style in the title puts him in 2nd place in the all time f one standings behind Michael Schumacher who won the World Championship 7 times and 92 year old Greek woman has for the 1st time been reunited with 2 Jewish siblings she helped save from the Nazis during World War 2 many dinner was a teenager when she helped hide 6 members of the Mordechai family near the northern Greek city of Thessaloniki before helping them to flee into the mountains and that's the latest b.b.c. News. I know you're listening to the news room from the b.b.c. World Service I'm Nick racing start in the United States where large swathes of California are still burning wildfires across the state over the past 2 weeks have led to power cuts and thousands of people being ordered to evacuate their homes nearly 100000 acres of land have been burned and the governor of California Gavin Newsom declared a state wide emergency last week now though in a twist President Trump has blamed the governor for the fires and threatened to withhold federal aid if Mr Nessen didn't as he put it get his act together Mr Newsome reacted angrily to the president's tweets and later spoke of the impact of the trumpet ministrations recent rollback of environmental protection measures u.s. Correspondent Peter Bowes is in Los Angeles he told me more about the political route and revealed how he has been personally affected this is a repeat of the kind of spark that we've been hearing between these 2 for many months now and suddenly Donald Trump is repeating his claim verts one of the problems is cleaning the forest floors he says Governor Newsome has done a terrible job of forest management he said I told him from the 1st day we met he must clean his forest floors regardless of what his bosses the environmentalists demand of him and those are comments that is maybe for in terms of clearing the forest floors of leaves the president went on to say every year as the fires raging California burns it's the same thing and then he comes to the federal government to ask for financial help no more he says Get your act together governor and the governor has responded in a tweet quite a pointed tweet saying to the president you don't believe in climate change you are excused from this conversation what's the latest with the wildfires the wildfires that we've been hearing about in the last few days firefighters are getting control of those fires certainly the one in Northern California which was the biggest in wine country to the north of San Fran. Cisco is still burning and book probably take another couple of weeks to be completely contained have been several in the Los Angeles area as well some are completely contained now and others are certainly not posing any risk to the people or to their properties and you had your own personal experiences through what's gone on in recent days Yes Well one of those Los Angeles Fire has affected me and about 30 miles to the north of Los Angeles this is more of a rural area and it was an extremely fast moving fire I live in an agricultural area in a canyon and it really took seconds for that fire to spread it across the entire canyon and it was very close call for me and my neighbors some of whom did actually lose their homes and a reminder once again that these fires are not something to mess with they are extremely ferocious they move extremely quickly and as opposed to the significance of looking at what we've just been talking about is that there are no forests in this area these fires these l.a. Fires are generally grassland fires they are cultural fires and they don't involve forests so the argument about sweeping forests I know from personal experience certainly doesn't apply in the area that I live in Peter Bowes there well India is trying to tackle its own environmental crisis in an hour's time a traffic restriction scheme will come into effect in the capital Delhi as the city grapples with the worst air pollution it's experienced in 3 years the local authorities hope that reducing the number of cars by only allowing drivers into the city on odd or even dates and that depending on the final digit of their number plate will provide some relief from the toxic smog but Delhi is Chief Minister Arvind Kejriwal has likened the city to a gas chamber and called on the central government to do more in many areas of Delhi the air quality deteriorated into the hazardous category on Sunday and is around said. Charms worse than the Chinese capital Beijing protection reports now from the. Dead is choking people here are breathing the city's most toxic in years with pollution levels more than 20 times the sea humint the problem returns here every winter but many are saying that this is the worst they have experienced. During the protesters gathered outside the prime minister's house demanding a basic right clean air the believe there isn't the political will to find a solution you can obviously see how terrible it is and it's actually scary you can't see things in front of you patients are coming with more like a disability this is just like more of a pain with asthma. One major source of the pollution is stubble burning farmers in Delhi's neighboring states say they don't have the modern machinery they need to clear their fields without setting them alight so the smoke from their fires drifts over the city where it stays for days on end but the worst sufferers are people who work on the streets like traffic police took to drivers and the homeless. India's government says it is doing what it can it has banned construction activities is limiting the number of cars on the road and has asked for schools to remain shut for a few days but despite the public health emergency no long term solution seems to be in sight here on the street to 50 clearly difficult to breathe and I can feel it in my throat it's a huge concern for residents with study showing that the pollution is causing higher levels of lung cancer and premature deaths protection in Delhi. Now almost a year after the body of a British backpacker was discovered in New Zealand a man who's got on trial accused of murdering her Grace Malayan who was $21.00 was staying at a hostel in Central or Clint when she went missing last December and has Smith from Radio New Zealand has been in court and has been updating me on the case she disappeared from Auckland say b. Day on the eve of her 22nd birthday which sparked a large police investigation her family in Essex and nationally group were 8 so when she wasn't responding to birthday messages. A place investigation into it and the cover of her body buried in the white talk the Rangers about await cast as she went missing and the 27 year old man who has interim name suppression has been charged with murdering her and this man has named suppression why the stiffing that and were granted and term name suppression the or current district court right after he was charged and that's continued on the basis of preserving his fair trial rights and using one that's an option that's up to a judge to decide whether someone is eligible for interim name suppression or current name suppression Nesa case it is an interim basis and that's to preserve as their trial rights and to ensure that he gets a fair trial and that things are in that for an appeal in the future and what has happened in court today the very start of the trial so we got a large jury polled 7 woman and 5 men were selected the in the court was adjourned until Wednesday and on Winstar is really going to be that big day when the crown will open its case and actually we heard today that David malign crisis father will be given you didn't as well I was on his Smith court reporter Radio New Zealand You're listening to the news room from the b.b.c. World Service David here with the headlines President Trump has threatened to withhold aid from California because of a round with the state's governor traffic restrictions are coming into force in Delhi as the Indy. In capital struggles to tackle choking air pollution and the motor racing Britain's Lewis Hamilton has won his 6th Formula One world championship title and that happened at the Us grown Prix in Austin Texas it's now 3 but asked up to the final corner to check it. 3 thought which is the 2019 Mostyn 3 it is not enough to stop Lewis Hamilton being a $29.00 team if you want to be in the same. Championship title I knew Michael Sheen are going to have as more than the British trying to get them know that stunning Formula One season Lewis Hamilton champion so that is the moment Lewis Hamilton became the 2nd most successful Formula One driver of all time in his mis eighties the 34 year old as we've heard there needs to win just one more championship to equal Michael Schumacher his record B.B.C.'s former motor racing correspondent Jonathan lead jarred told me it was a remarkable achievement the way that how it has gone about the season has been exactly as you would expect from a 5 time champion us we now know a 6 time champ and there being 98 races 110 of them he started off with his team mate wondering whether Ferrari were going to dominate because they had a very good winter testing period which it always gives you some sort of indication of how the season might go but they got the 1st race and Ferrari were pretty much no where a Mercedes dominated and it's not just that he's got the best car cause a lot of people so it's old and say these They've got the best car is a very good driver but actually if you put other drivers in the most eighty's car they would just as well I don't know whether they would because Houghton hasn't won just by disappearing into the distance at the start of a race from pole position today for example in the u.s. Grand Prix qualified 5th he was beaten by teammate but he managed the way that he got through the field and came 2nd when he had to come 8th or something in order to take the title so much formality but it was just the fact that he uses his brain he's got a great. Tical strategic approach to racing it's not just pedal to the metal an accelerating and disappearing ears in a way I think had the rest feel whether he was in a fast car the best car or not if he uses his brain what is it that says he doesn't quite sell himself enough to the public or at least the British public that's a very good question why isn't he is like to someone like Damon Hill or Nigel Mansell or Jenson Button they all won the World Championship in Formula one once but they are much more popular much more liked by British fans and maybe a lot of people around the world it's funny how habits are never really courted popularity and even if you talk to drivers within the phone paddock do they get on yes we get on but do they actually really like him is there a real bond not necessarily actually if you want once you start to speak them quite privately but you have to say that nice guys don't don't always come 1st I'm not saying it's not nice you've got a very charming personality and I think a lot of the Taliban like a compartmentalizes life she market could be like a machine at the track but a completely different person with family and friends and Hamilton's pretty much the same as well but there is no doubting he is for once great a star ever I mean the global star and he has done so much of the sport away from the track in terms of raising awareness of the prestige of the sport as much as he has on it John Legend there the death has been announced in France of Yvette Lindy a figure in the resistance movement who taught reconciliation after surviving the horrors of a Nazi concentration camp she was 103 years old Greek and has more savvy than a 100 like you said harmful to this I think issue. Believe. Me I have a she that was a bit low indeed describing her experience of arriving at that even split concentration camp in Germany and 944 as a resistance work in occupied France in one. A missile and he began supplying forged papers to Jews mean flaying the Nazis forced labor program and escaped prisoners of war but 4 years later at the age of $28.00 she was a wrister by the Gestapo the secret place of Nazi Germany and transported to book a camp near bill and specifically for women where between 30 and 50000 people died over the spoke of the dehumanization she experienced there a memory she said she would never figure it was being forced to undress in front of him. At the very beginning of her ordeal. Her trauma at the camp would last nearly a year until she was assigned to a commander slave labor unit that was a liberated by the Russian Army in April $945.00 it was nearly 15 years before she began to speak out about her experiences giving talks to French engineman students did occasion her live to re conciliation his education yet they don't believe there is hope remind yourselves that in life and during a war the struggle is for freedom and there was a duty to respect freedom to respect skin color religion political ideas and to know have to tolerate others respecting oneself and respecting others that is freedom on the Ok Zhen of her 100th birthday Mrs Mundy was awarded the legion of on a 2nd vet of Grange officer Mrs Mundy died at the age of $103.00 in the northern French town of Epona the town's mayor paid tribute to her incredible commitment to the juicy of a member and Kagan there let's take you to Lebanon where large crowds of anti-government protesters have taken to the streets once again the demonstrations that have become known as the country's October Revolution began just over 2 weeks ago with a handful of protesters that were outnumbered by riot police guarding the parliament building in Beirut since then the movement has swelled to hundreds of thousands of people gathering in several cities across the country their demands have changed to the prime minister's resignation on Tuesday wasn't enough they now want the whole political system dismantled one of the. Demands which was ousting the government but now we demand a new 2 technocratic government not a political one well reporter Gary Barlow joins me in the studio Now Garth just remind us how and why this all started this all began back in October amid the worst economic crisis for decades in. Lebanon the government proposed to a tank so on cause made by fire mobile apps such as whatsapp for example now they're normally free and this enraged Lebanese protesters they took to the streets in small numbers that got bigger and bigger and bigger at one point there was 170 kilometer long human chain hand in hand across the country and that weight of protesting in the end led to the resignation of the Prime Minister Saad Hariri and also the entire cabinet but was really notable in Lebanon a country so often plagued by sectarian division is the unity of these protests and how things change now then over the past couple of weeks the protests have got smaller especially in recent days but the protesters who are still on the streets aren't satisfied with just that resignation the prime minister they want more they want the entire political system to effectively be ousted and removed and replaced with technocrats their technical experts who could work to improve the unemployment the economic crisis the level of poverty in the country and also in recent days we've seen other movements add to their advice to it for example on Sunday families marched and wanted their course heard as well and there has been some support for the president in terms of this counter demonstration what's reaction been there earlier on Sunday supporters of the president Michel Aoun as you say took to the streets they say that if the political establishment and what is known and the ruling powers are taken out of Lebanon then there will be chaos he son in law is the foreign minister and he said that they would work to try and bring about changes. We have long and difficult days ahead we were racing against time to prevent collapse but corruption and public debt beat us the reality is though that there is 25 percent poverty in Lebanon and there are many in Demick issues and whilst there has been lots of change already those issues haven't yet been tackled and that's what the protesters want and that's what the politicians will need to do or see what happens thanks a lot of bother. The fast food chain McDonald's has sacked its president and chief executive Steve Easterbrook for having a relationship with an employee company said the British businessman who Chone poor judgment has been replaced by the former president of McDonald's USA Chris Kempinski Shala Gallagher reports in an email to staff Steve Easterbrook described their relationship with an unnamed employee as a mistake even though it was consensual the board of McDonnell's that it violated company policy Steve Easterbrook was hide as chief executive in 2015 and has been widely credited with turning around the company's financial fourteen's the value of shares more than doubled during his tenure he remodeled the business striking a lucrative delivery deal with aids and installing digital ordering chaos in restaurants although last month the company missed Wall Street profit estimates for the 1st time in 2 years the meeting movement has led to increased scrutiny of powerful businessmen and Steve Easterbrook isn't the 1st executive to be forced out because the relationship deemed to be inappropriate last year the former chief executive of Intel Brian Griese and it resigned for the same reason Charlotte Gallagher there David here now with some other stories from our news desk 7 British prisons are to get new equipment to try to tackle the smuggling of weapons drugs and phones the government hopes the new x. Ray machines and metal detectors will help reduce violence the opposition Labor Party says Conservative cuts are to blame for jails becoming more dangerous the consumer goods giant Unilever has vowed to stop its brands running adverts on pornography sites The move comes after its men's grooming range Dollar Shave Club ran a campaign on pornhub a British newspaper raised concerns about the ads alleging the controversial website had failed to remove illegal content pornhub disputed the claims but Unilever said it was extremely concerned ariana grande a has been snubbed at the m.t.v. Euro. Music Awards after failing to win a single prize despite being nominated in 7 categories the Grammy award winning American pop star didn't attend the event in Spain Billy Eilish took home 2 awards for Best Song and Best Newcomer k. Pop superstar's b.t.s. Also scored a double win for Best Live and best family Army David thank you now 30 years after the fall of the Berlin Wall the former Soviet leader Mikhail Gorbachev has told the b.b.c. The current standoff between Russia and the West is putting the world in colossal danger the man who helped to end the Cold War described east west relations today as chilly but still a war and remembering the fall of the wall he says Moscow took the decision not to intervene it was a matter for the Germans he said bloodshed had to be avoided Moscow correspondent Steve Rosenberg reports. So you really at the age of 88 Me Harl Gorbachev is in poor health but his sense of humor is fighting fit. He will write to rush over for this interview he tells me at my age I could go any moment to hear from. The former Soviet president tells me about his family his late wife recently his father a war hero rather endearingly he's given his Zimmer frame the nickname my Russia his mother's name go bitch off gives few interviews these days but he's agreed to talk to me about an event 30 years ago the changed the world. Under them but the 9th $1809.00 the bird involved fell paving the way for German reunification but how would Moscow yet at the time there were hundreds of thousands of Soviet soldiers in East Germany risk growing we took the decision there mustn't be bludgeoned and we couldn't allow it over an issue of such magnitude for Germany for us for Europe the whole world. There were some people like Margaret that general who didn't want to united Germany but we declared we would not interfere it was a matter for the Germans to decide yet the diligence of putting a dish just 2 years later the Soviet Union fell apart many Russians still blame President Gorbachev for the death of a superpower but there were achievements to the president of the United States and the general secretary of the Central Committee of the Communist Party of the Soviet Union. Which off performed a diplomatic double act with Ronald Reagan to reduce the nuclear arsenals of the u.s.s.r. And America for the 1st time in history the language of arms control was replaced by arms reduction in this case the complete elimination of an entire class of u.s. And Soviet nuclear missiles but the disarmament treaty they signed has collapsed. And Russia and America are testing new missiles and to being sucked into a new arms race how dangerous do you think the current confrontation is between Russia and the West Parkar years asshole been as long as weapons of mass destruction exist nuclear weapons and dangerous colossal turn their path would see in the order of the day all nations should declare all nations nuclear weapons must be destroyed to save ourselves and our planet. Mikhail Gorbachev and during that report from Steve Rosenberg let's remind you of our main news today President Trump has threatened to withhold aid from California because of a rout with the state's governor and traffic restrictions are coming into force in Delhi as the Indian capital struggles to tackle choking pollution You've been listening to the news room from the b.b.c. World Service on a correction this is the b.b.c. World Service where each week for a big name musicians discuss what matters most to them making music the aim of the World Service dot com slash music life. Hello health checks coming out from the b.b.c. In a moment with me Claudia Hammond people often say they're authorized just gets worse when the weather is turning damp and cold but it's been hard to prove in till now with a study where thousands of people tracked their daily pain using an app where they write all along the dale that means that more people will be able to get a drug to help their cystic fibrosis and why monks in Thailand are putting on weight from the unhealthy food offerings that people leave for them all coming up in health check after the news. B.b.c. News with David Harper a traffic restriction scheme comes into effect today in the Indian capital Delhi as the authorities grapple with the worst ad pollution the city has experienced for several years for the next 12 days car drivers will only be allowed into Delhi on alternate dates based on their number plates the governor of California Gavin Newsome has reacted angrily to treat spot tweets by President Trump blaming him for the recent wildfires and threatening to withhold federal aid Mr Trump said the governor had done a terrible job of forest management governor knew some responded tersely saying that Mr Trump does not believe in climate change and so he was excused from the conversation the former Soviet leader Mikhail Gorbachev has warned that the current tensions between Russia and the West are putting the world in colossal danger in an interview with the b.b.c. Marking 30 years since the fall of the Berlin wall Mr Gorbachev said that nuclear weapons should be destroyed and Norway based shipping company says that 9 of its employees have been abducted from one of its vessels while it was Mordor off the coast of Benning in West Africa a company statement said the cargo ship the Banita was attacked by pirates 15 kilometers out to sea Brazil's police associations have denounced what they say are President Jaya of all scenarios attempts to intimidate those in charge of investigating the assassination of a Rio de Janeiro politician President Gul scenario has strongly denied allegations that he is linked with the murder of Mary Allie Frank who a prominent human rights activists shot dead last year in Rio de Janeiro the chief executive of the fast food company McDonald's has been sacked for having a consensual relationship with an employee the company said Steve Easterbrook had demonstrated poor judgment and that it was against company rules for managers to become remand to be involved with a subordinate That's the latest b.b.c. News. Hi there welcome to health check from the b.b.c. I'm Claudia ham and today we hear why half of monks in Thailand are obese unable to choose their own meals and relying on offerings that are often deep fried and high in calories salt and sugar we're light for 2 months we don't know when they consume we leverage that it relates to the sugar level and when we go on what the real health consequences are I believe that the problem is that ticking time bomb from Kenya how the installation of a special tap is making a difference to people's health and my guest today is Sarah Bose Lee health editor of The Guardian newspaper Sarah what have you got for us this week I've got some good news for cystic fibrosis patients and some good and not quite so good news on per year and we look forward to that later and let me ask you something are you a big follower of the weather forecasts and I do look at my app every now and again but usually when I'm a bit worried about getting wet in need of waterproof Well we are British so we can't help but keep looking I have 2 other apps which I constantly cross reference probably several times a day but sometimes I can tell the weather is getting damper because my joints start to ache a bit and I'm not alone apparently 3 quarters of people diagnosed with painful conditions such as arthritis believe the weather affects their pain and many report that the cold makes it worse Others are more troubled by rain or even by warm weather so can the weather really affect pain a group of research is based at the University of Manchester has just published the results of a 50 month study with over $13000.00 u.k. Residents living with chronic pain and the whole project has a name I really like I'm sure you like a good pun Sarah it's called cloudy with a chance of paying Why do you like that yes that's a really good it's good isn't it now William Dickson is professor of digital epidemiology at the University of Manchester but he also works as a doctor and it was what his patients told him that got him interested consult rheumatologist so I see patients with arthritis every week in my clinic and it's really common that the. People report that their joints are better or worse because of the weather but actually there's really no conclusive evidence as to what the relationship is and I think that surprised lots of people that there isn't any lots of evidence about this when it because so many people say all they can they can feel it in their joints when the weather's damp and when it suddenly cuts rainy and cold that they they feel much worse that's right so people's beliefs are very strong in fact over 80 percent of patients with arthritis believe that there is an association between the weather and their pain and in fact over half of people believe that they can predict the weather based on their symptoms and so you decided to gather a really large sample of people together and to get people to use their smartphones What do people have to do we asked people to download a study app and in the app we asked people to try their symptoms every day and then we automatically use the g.p.s. To link to the local weather data therefore building up a large data sets including both high quality daily data about symptoms and the weather we used to smartphones because over 8 in 10 people in the u.k. Have access to a smartphone which meant that we could potentially reach much larger numbers of people than had been possible previously we had over 13000 people take parts over one in 7 participants enter data almost every day for 6 months or more and ultimately we had over 5100000 symptoms alongside daily weather from all around the u.k. To analyze so every day they failed in things like how stiff they were feeling how bad their pain was how tired there was and then I guess you can then match that up because you know you know whereabouts they were so you know exactly what the weather is you have got to rely on them trying to remember or get it right so after all that what did you find what we found that indeed there was an association between weather in pain we found that high humidity was that had the strongest association with pain but that stronger winds and low pressure were also associated and why should falling pressure make your hip or your other joints her. More Does that make sense well our study wasn't able to look at the mechanisms by which these weather ingredients were associated with pain but other people have hypothesized as to why there may be this relationship pressure within joint certainly as relates to pain if people have an inflammatory arthritis they develop an increased amount of fluid within their joints that creates pressure so people have thought that pressure around a joint may indeed influence how you did this study in the u.k. Where it's sometimes raining do you think these results would apply and in other countries as well it is difficult to know the answer to that I think if there are countries that have similar climates then we might assume that they would have similar findings but we can't really extrapolate what we found in the u.k. To climates that are completely different now of course people were able to decide whether they took part in this so is it possible that all the people who think that there's a link between their joint pain in the weather are more likely to take part than the people who don't think there is any link because they want to prove it's true that skew the results that's a really important point in epidemiology we always have to be concerned about selection bias about whether the people who participate are in some way different from those that we're trying to sample from when were our participants downloaded the app we asked them a series of questions and that included questions about their beliefs about whether they thought there was a relationship between whether a paper so on average we saw the same proportion of people who had strong beliefs compared to other studies that are similar questions and interestingly as we followed people forwards through time those people who stayed in the study longer also have the same level of baseline belief as those who drops out and could this be useful for patients in some women apart from the you know the the satisfaction of have been proved right could this be useful to know is in somehow managing your pain I think there are 3 reasons why the results as helpful so the 1st is exactly as you say it's this validates and provides evidence for this long held belief. If lots of patients have told us that they'd been telling doctors this for years and have been dismissed so we've generated evidence that there is a genuine Association Secondly having worked out what's in gradients it says within the weather related and knowing that we can forecast pain this does open the opportunity of a pain forecast which would allow people to plan their lives in the coming week or so based on when we think that they might have a better or worse day and then lastly if we can pass off findings over to other scientists who can work out the mechanisms by which these weather features affect pain that might then in the future open the door to new treatments it's a really clever idea getting people to use apps on their phone to take part in research like this so that you can get these big numbers do you think there's more potential for this kind of research absolutely by having people collecting data just for a minuscule period of time integrate into their daily lives it allows us to answer questions that have been really difficult for scientists to answer for years for decades for centuries even and I think it's a really exciting future William Dixon I like the way that forecasting seems to be going on in both directions people's pain seems to forecast the weather but the weather also forecasts their pain or what you reckon to the idea of having pain forecasts at the end of the t.v. Weather one day so I think it might make a few people feel I'm going to be in pain anyway come come maze maybe not touching an idea maybe now we often discuss how hard it can be in low income countries for people to get hold of the medical treatment they need but of course sometimes that is the case in high income countries too and in England patients with cystic fibrosis have been celebrating this week with the news that they will be able to obtain one particular drugs etc What is this drug and how will it help them this drug is called or can be that's the brand name and it's to help the actual condition of the sick fibrosis it's not just the symptoms this is looking at the underlying problem so this if I breast. This is a genetic disease and it's a really nasty thing actually it gradually clogs up the lungs they fill up with mucous and to the point where people can't breathe and children have an awful lot of physiotherapy just to keep them actually breathing properly and they get infections and they end up in intensive care in hospitals that's really pretty nasty so there's been a battle for 4 years to try to get this drug on the n.h.s. In England and the reason is that Vertex the American company pitched the price a very high that the n.h.s. That it was just an affordable in spite of all the potential it has so 104000 pounds per year per patient and now finally n.h.s. England appears after a lot of pressure a lot of fuss a lot of negotiations to have brought the price down although we don't know to what level because that's commercially confidential and now that that deal has been done in England does that mean that other countries might follow suit there are some countries around the world that have already done deals mainly because they've got smaller populations of people with cystic fibrosis than England has so the bill wasn't quite so high but in some cases they're going to renegotiate later when they work out really how effective is druggies in Germany is one of those for instance so we'll see in might actually have an influence yes there been to see what happens thanks Sara now around the world many of us take a safe clean supply of water for granted but of course in many places clean water is not available leading to the spread of diseases such as cholera just outside the city of consumer in Kenya a project has been trying a new solution special community taps which inject just enough chlorine solution into the water to kill harmful microbes the B.B.C.'s Michael cloak he has been to see what kind of a difference it's made out of of. Them of their animals. In the village of one young boy just outside the city of the symbol a woman comes with her Jerry count to accused by water for happy family who did it as a. Like many in and around consuming the people here are my treated mains water system and rely on the water that's pumped in a pipe to this kiosk from deep underground Willis But you know my mate just like your square the community there what I had to compromise. On then to what I was bombed What a story down called the 10000 Let us then it trickles through water pipes like your . God and you have all 1500 that depends on this water because the folk you let we have particularly if you're going to need something at 500 people until 2 years ago the water that came out of the kiosk stops was entirely untreated and could contain bacteria responsible for dangerous diseases such as color and typhoid outbreaks of these water borne illnesses are not uncommon in this part of Kenya but that changed when a project run by the Kenyan N.G.O.s swap and Tufts University in the United States installed a device known as the m s venturi chlorine dose up at the kiosk. Swabs research coordinator at Jared opened up the white and blue box on the site of the kiosk. This device that is attached on the Chios looks like a box which is the stunt to hit. Inside it you will find there is glow in storage tank and there's also a dozen components to each inject the chlorine solution into the water. When the tap is turned on water flows through the device and the dose that injects just the right amount of chlorine solution to kill how cold bacteria but not enough to make the water taste unpleasant. This devices are very sustainable because since we installed it 2 years ago the device has been here. Very minimal mechanical import that's been done and we hope the next 3 years the device will be still working the Project installed 7 chlorine those at kiosks in the area and 5 still operating and the fact is that chlorine solution is easily available and inexpensive and the dozers don't need electricity to work sups director Alex Markey says that ease of maintenance is one of the advantages we are using a product that is locally available but is chlorine and we have various branches in the community that we can use to disinfect their water and saw communities woods always have access to safe drinking water any time they go collect water that he said that just. One liter of chlorine solution in the dozer is enough this impacts 12000 liters of water and the treated water is popular with some members of the community. Again let's include my name and. I use the water in my household together with my husband and my children often do you come to the queue for water and how much do you buy your beautiful look I'm going to take me to the kiosk and they buy 3 Jerry what I like it because it helps prevent diseases and when you wash using the water it is softer the community paid $250.00 u.s. Dollars for the chlorine goes up and the water it treats costs a little more than untreated water at the kiosk $3.00 u.s. Cents per liter Very says to us cents to cover the cost of the chlorine solution but manager when you did tell me that's enough to put some customers off some tend not to. Go for it they say that one is expensive the community that we are serving is composed of a bigger percentage of poor people that even a little one of the. Bigger deal to them actually most of them still of death to use their talk pipes that are producing the understand what but for those who understand the importance of using the say of what they just buy without having any problem the once and different doesn't deter this regular customers and you know money minister. And. My name is innocent as a going to be a right and left. In the daily minute by Marvel they treated water is clean and safe it is not like the entity which when we used to drink could make us sick. Michael Cloquet reporting and one of the people behind that project Amy Pickering has carried out other similar interventions in other countries such as Bangladesh and she's been telling Paula McGrath what she found when she measured the impact on health of those who use the clean water taps we found that it was actually able to cut diarrhea by almost a quarter for children under 5 so reduce child diarrhea by 20 percent and do you think you'd see a similar impact if you measured that in other communities definitely almost 1000000000 people in the world access water that supposed to be promoted group sources but it's actually contaminated with. Sewage So I think there would be help but if it's another somewhere sometimes we have done a taste action experiment in dark that to understand exactly what level of chlorine dose could people to attack the teamster chlorine and then in that trial we were able to dose just under that level and nice we're able to still see a big reduction in child diarrhea but the acceptability of the intervention was quite high because people couldn't really taste coring do you think that up until now them that we've been using a bit of a sledgehammer to crack a nut when we could as you say use a much lower dosage and it still be effective that's a great way to put it yes I think sometimes the perfect is the enemy of the good if you're implementing something that people are not going to use and they're not going to like it's not going to be effective could have ice there you're listening to health check from the b.b.c. I'm Claudia Hammond and my guest today is Sara Bowes Leigh from the Guardian Now we always like some good news on health among the doom and gloom we have here on health check and there is some well some good news and some bad news on polio what what's happened well everybody's exciting the good news obviously and rightly so so what has happened is that wild polio virus type 3 has been officially eradicated. There are 3 types of wild polio virus and we've already got rid of type 2 and this is type 3 that's gone as well so it's just a type one that we've got to battle and that's causing most the case the polio we have at the moment and Type one is just endemic now in 2 countries in Afghanistan and Pakistan and Nigeria used to be the 3rd country that was listed but they now haven't had any cases since 2016 so why are these last pockets so difficult to reach in Afghanistan and Pakistan it's been difficult actually in a number of countries to deal with conflict and this was certainly the case in Nigeria you had the areas in the north where there was fighting going on there's also a lot of suspicion actually so it's quite a miracle to my mind that they've managed to get children vaccinated up in the north of Nigeria and the same sort of things apply in the areas of Pakistan and Afghanistan where the store problems. Having said that this isn't the end of it all because you still have to get rid of the vaccine derived cases so the oral vaccine which is the easiest one to give to children because it's just a few drops in the mouth and if you're going through large areas of Afghanistan in the remote you can do that quite easily but that one does actually leads to children it's creating a weakened form of polio virus and if that's left for very long to spread communicate and actually cause paralysis causing polio which is is pretty horrible So there are some cases that are actually from the vaccine still happening and the good news is that type 3 has been eradicated but so what's the bad news there well the not so good news we say is actually that the case numbers are up for type one so last year in 2018 there were 33 cases of polio virus in the world this year so far they've been 94 which doesn't look so good that's as quite a rise not sure why there hasn't been threats. This yet but I'm sure that those really brilliant people who are trying to radical polio will be on this case and trying to pin down again very hard yeah thank you very much Sarah now monks in Thailand have been experiencing a health crisis thanks to the tasty religious offerings they've given to 8 they're held in such high esteem that every day people bring them food and if they have to go to hospital they even have their own special wards but news that nearly half the monks are obese putting them at risk of developing type 2 diabetes and its complications has prompted action Professor junket from Bangkok's chiller long corn university was determined to help the monks are after she spotted surprising numbers of them in hospital she created a health chart of the monks which is due to be rolled out across the country by the end of this year and I asked her how she 1st noticed there was a problem the obesity rate for the general population is about 39 percent among At that time in Bangkok it is 48 percent which is really heart of man is obese and chronically business like diabetes the month have a plan for saying this is quite high compared to the male population in Thailand which is around like 60 percent and also the literal among monks is quite like 42 percent could you tell me about the wards with the monks in the hospital in Thailand we have a kind of war for the monks and we'll. Amputate it in a fork in a lake and quite sad when we take this gigantic students to the ward when I talk to man they don't know when they consume we leverage that it relates to the sugar level and when we saw the real health consequences of that this problem is that ticking time bomb the health promotion Foundation grant funding for me in the university and then. Start to study the nutrition problem in months people may think of monks as very obscene Yes some and probably healthy Why is it that they have an unhealthy lifestyle if we look at the way of life of Mongols in Thailand they have one or 2 meals a day in fact it seems that they should have kind of like lesser calories compared to the general population but monks have to receive the food from their lay people the food that they offer to moms is quite high that high calories and less protein low side are the people believe that when we offer food this try to offer food that their deceased family members laugh and those food more likely to be like delicious food and not healthy and moms cannot refuse the food that is offered we have to take it and we don't make merry it for those who are forced Is it right that after midday the monks can't eat any more food or yes but the liquid or the drain is allowed to have a having on healthy drinks they have a drink that is kind of like returning beverages like soft dreamy and juices they contain high sugar so this sounds like a difficult problem to tackle since the monks count choose what they eat since they eat in the offerings that people bring them water the being able to do to give them a more healthy diet we have in their interview with the moms and the lay people and then lastly we receive the way that we can empower because I think the main idea is that we lack awareness and when we create nutritional media education media for Monk and also for laypeople we start to see the change and also you have a special belt that. Use developes which is another looking belt it's like a sash that's sort of gold and yellow What does that. So maybe it's kind of like up a little bit funny but what I try to do when we create a be any media we try to make them like you know imposed in the real life of monks because of the nature of we could in fact we found 4 major culprits that can explain the cause of the health problems in monks right now and one of the issue is about the body size we know that the rest size of monks is related to the blood sugar level of the cholesterol level so you're active level and blood pressure so we try to invent what I call to the market well it means that in their rote they have a belt usually they wear it every day so we put the special mark in their belt so they start cutting back the calories are you know of are doing something that is more healthy and how much difference has it made have the rates for the city come down when we talk about the obesity rate we have to do a major surveillance on that we may have to wait a little bit but we have tasted the effectiveness because we tackle all 4 aspects of the monk we call it the food the dreams the west side and that was already a political activity and then we take it for 8 weeks and then we find really exciting results that their body weight these Crees not only body weight but the food intake is better and the wayside less and especially the m.e. Tablets findings like they have reduced cholesterol equivalent to taking the stating drugs and then that strike is right and you were asked it and blood pressure Professor Jones it now Sarah knows. Is there some new research out on how much the rest of us eat and this is a review of all the research that's been done on whether people eat more when they're alone or having meals with other people what does the answer seem to be well we seem to eat more when we're in company so everybody sitting around the table whether it's family or friends maybe at a restaurant maybe at home and we gorge ourselves it seems by comparison with what we do when we're all on our own and what sort of explanations to the authors offer for this well they offer a couple one is sort of evolutionary approach perhaps which is that when we were short of food and worried that it might run out we'd share it all around so so eating becomes something for us as a sort of survival process and everybody gets to be so it's that's why we like to eating company perhaps but frankly I think there's the other explanation to me rings true or which is that it's a lot more fun to eat with friends and I'm sure everybody eggs each other on sorry that's a very bad for their I thought Apollo it was bad but that's a good one yeah so you know one person says I think I have a putting How about you and before you know it everybody's got a spoon and we're all at the putting Yeah and also if it's found you don't really want to stop the meal do you say you're likely to just carry on and you said f a longer supposed only because of chatter in which case you months will take a little bit more from the middle of the table or you know have another roast potatoes Yes The longer you sit there and stare at it the more tempting it gets and make me quite hungry Well thank you very much Sara Bowes the health editor at The Guardian newspaper for coming in today and thanks to the producer Paula MacGraw you can find me on Twitter at Claudia ham and I will be back at the same time next week when we'll hear why it's the teenagers who are a combination of kind and mean who tend to be the most popular at school by for now . This is the b.b.c. World Service and with news of the next World Book Club Here's Harriet Gilbert's who'd been reading a novel about a man frantically trying to rescue not only his marriage but his family and marriage has run its course Douglas I think I want to leave I wanted to explore what it feels like in a family when there's a tug in a particular direction talking to bestselling author David Nicholls about us world picked up at b.b.c. World Service dot com slash World Club You're listening to the b.b.c. World Service our technology reporter Zoe Kliman told us when I asked our Washington Correspondent Chris Buckley or what was in this article our Europe regional editor Mike Saunders is here in the studio that speak to our China Media analyst Gary Allen from b.b.c. Monitoring on air online and on smart Phil this is the b.b.c. World Service the world's radio station. It's 3 o'clock in London alone welcome to News Day on the b.b.c. World Service with advocacy Jack and me James Copnall good to have you with us our top story today the smog in the Indian capital Delhi has got so bad that the authorities are brought in restrictions on vehicles but will it work as protests in Iraq continue we'll ask just how far will they go and our correspondent in the Netherlands investigates medicinal cannabis and the lengths some people in and out of the country will go to get it right after finding a long lost child taught a species this team is going back to look for more on the volcano was extremely active and so this is probably a species that's on the edge of their existence anyway is the helicopter will be extremely useful to retrieve any tortoises that are sound all that and more killing sports and business coming away our new state 1st that this bulletin of the latest world news. Hello I'm David Harper with the b.b.c. News a traffic restriction scheme has come into effect in the Indian capital Delhi as the authorities grapple with the worst and pollution the city has experienced for 3 years can't win a reports from this morning car drivers will only be allowed into the.
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