Transcripts For BBCNEWS Victoria Derbyshire 20170829

That i should be. The full exclusive report in around 15 minutes time. If youve been fitted with an essure device really keen to hear your experiences this morning. Hello, welcome to the programme, were live until 11. 00. Throughout the morning well keep you up today with all the breaking news and developing stories and as always really keen to hear from you. A little later well meet to an eight Year Old Girl injured up in the Manchester Arena bombings whos been reunited with the Police Officer who rescued her and drove her to hospital. Lily harrison and pc cath daley willjoin us in the studio before 10. 00. Do get in touch on all the stories were talking about this morning use the hashtag victoria live and if you text, you will be charged at the Standard Network rate. Our top story today. The United Nations Security Council is to hold an emergency meeting this afternoon, after north korea fired a missile over northern japan. The missile flew over hokkaido island before crashing into the sea. Japans Prime Minister said the launch represented a serious threat to his nation. 0ur correspondent, Yogita Limaye, reports from the south korean capital of seoul. Siren. Japan being woken up by a siren on Tuesday Morning as a north Korean Missile flew over the country. The rocket was launched from near pyongyang and it flew over the Northern Island of hokkaido, before splitting into three parts and landing into the sea to the east. It is just the latest in a series of military missile tests conducted by north korea this year, but a more serious one because it flew overjapan. The last time that happened was nearly two decades ago. The outrageous act of firing a missile over our country is an unprecedented, serious and grave threat, japanese Prime Minister shinzo abe said. At a Us Military Base near tokyo, a military drill was conducted by Japanese Forces in response to the missile launch. Across the sea in south korea, joint exercises are under way with american troops. They are held every august, and north korea usually responds with a show of strength. Last year, it conducted a nuclear test in retaliation. This year, it has flown a missile that had the potential to cause serious harm. A strong message that despite international pressure, pyongyang has no intention to stop. Yogita limaye, bbc news, seoul. 0ur correspondent Yogita Limaye is in the south korean capital seoul for us now. South korea have responded, what have they said . It has been a strong response. The military has been told to show overwhelming force against north korea. South korean fighter jets staged a live bombing drilled to attack the north korean leadership. It was a strong response coming from here, especially as president moon has been advocating diplomacy and has said, he wants a peaceful resolution to this crisis. To hear this strong forceful language coming from him today, suddenly shows how seriously this escalation from north korea is being treated in this country. The un Security Council has increased sanctions on north korea, what else can the International Community do . This comesjust a can the International Community do . This comes just a little over three weeks after the fresh un sanctions we re weeks after the fresh un sanctions were passed. They banned a major exports from the country. Even china, the top trade partner of north korea had backed those sanctions and urged north korea to stop missile tests. We are still to hear what china has to say about this latest launch. We have spoken to a nalysts this latest launch. We have spoken to analysts here who say sanctions to analysts here who say sanctions to work against north korea and this is one more indicator it is not going to stop pyongyang. Top military officers have spoken and they have said they will implement more military measures. But we dont know yet what that means and when it will happen. Thank you very much. Anthony on facebook agrees with the a nalysts, anthony on facebook agrees with the analysts, political pressure wont work and nor will sanctions as kim jong un wont allow himself to suffer. And this tweet says kim jong un is playing donald trump and he is falling for it. There needs to bea he is falling for it. There needs to be a de escalation in the rhetoric. More to come on that in the morning. Annita is in the bbc newsroom with a summary of the rest of the days news. The catastrophic flooding in texas is expected to get much worse, with officials warning they expect nearly half a Million People to seek assistance. With waters still rising, helicopters and hundreds of Specialist Vehicles have been deployed in the rescue effort. An emergency has also been declared in neighbouring louisiana, which is in storm harveys path. Nada tawfik reports from houston. Waiting for help to arrive as the floods reached new heights. All day, emergency responders, neighbours, and even complete strangers, have answered pleas for help from those trapped across houston. But still, it has not been enough. There is so much water. We have our children with us. Were trying to save our babies, thats it. Resources have been overwhelmed by the epic scale of this disaster. 20 helicopters have been flying missions and the states entire National Guard has been deployed to aid in the search and rescue. Thousands have been saved but many more remain desperate. From midnight until where we are today, 290 have been rescued. We fully recognise that there are many other people out there in stressful situations and we intend to get to every one of them. Houston is struggling to stay afloat. Few parts of the sprawling metropolis have been spared from the rising waters and torrential rain. Every major highway has been affected and harvey is straining the citys infrastructure. It has been days since harvey first made landfall. But communities here in texas are just now feeling its full impact. And with even more rain forecast, authorities fear that the worst is yet to come. President trump will travel to the Lone Star State today. He has promised rapid federal aid and texas will need it. The state faces years of rebuilding and recovery in the wake of this unprecedented storm. Nada tawfik, bbc news, texas. An exclusive investigation for the Victoria Derbyshire programme reveals a sterilisation device called essure can lead to complications requiring full hysterectomies. The sale of the implant called essure hasjust been temporarily suspended for commercial reasons. The manufacturer and regulator say the device is safe and the benefits outweigh some of the risks. The number of uninsured drivers on british roads may be increasing for the first time in more than a decade according to new data obtained by the bbc. The motor insurance bureau, which processes claims by victims of uninsured drivers, say there was an increase of 10 tojuly of this year. That rise could suggest there are more uninsured drivers on uk roads. Brexit negotiations are continuing in brussels after the eu told the uk it needed to get serious about the withdrawal talks. The eus chief negotiator Michel Barnier has expressed concern about the lack of progress made so far and accused britain of ambiguity on key issues like its exit bill. The uk brexit secretary david davis said both sides had to show flexibility and imagination. The source of a suspected chemical haze which drifted in from the sea yesterday in sussex is still not known. Around 150 people were treated in hospital after reporting vomiting and irritation, and several beaches had to be evacuated. An investigation into the source of the haze is continuing. The british actor edge green has pulled out of a programme. He said he didnt know the race of one of the characters he was playing so hes stepping down and the role can be cast appropriately. We will bring you the story on the essu re we will bring you the story on the essure advice. If you are offered a hysterectomy after one of these, you will be offered a pelvic mesh. A lot of women dont realise they are suffering and it is down to the essu re suffering and it is down to the essure divide. And this tweet says, when will they learn . Do not implant device that cannot be removed safely if things go wrong. More on that to come. Your experience is welcome and we will put them into the conversation. Johanna konta is out of the us open . Yes, it has been a positive year and she made the semi final at wimbledon, but a first round shock exit in new york this morning to the unseeded serbian. She was seeded seventh and among the favourites. She could have finished as the world number one, if she did so. She won the first set, 6 4 and then the second and the third. She said it is just a tennis match, just sport. She has taken the defeat well. Heather watson has gone now. Better news for kyle edmund and andy murray, pulled out of the us open injured before it started. We should tell you quickly about a dramatic return to grand slam tennis for Maria Sharapova. She was serving doping suspension. 15 months she was out. She beat simona halep, so announcing herself back on the major stage in style. I think she cried. So relieved. Arsenal had a terrible time on sunday and it looks like they set to lose alex 0xlade chamberlain on. Well be missing . Yes, he is one of their top players and we will from ian wright, but Arsene Wenger is in a sticky situation. The transfer window closes on thursday night. He could lose his star player and ozil is out of action. Alex 0xlade chamberlain, he arrived from southampton six years ago. Has been a protege of Arsene Wenger. It is significant in a sense they will lose an England International, 24 year old. So much time ahead of him in the premier league. Important time for arsenal. What will happen over these next few days . They have lost two of their opening three games. I was at anfield on sunday andi games. I was at anfield on sunday and i was watching alex 0xlade chamberlain, who looked com pletely 0xlade chamberlain, who looked completely disinterested and so did alexis sanchez. And ian wright has said the club is in crisis and Arsene Wenger has to go. Where do we stop. The amount of things going wrong. It does come back to Arsene Wengers door. We are three games in and we are literally at crisis point. We are losing players. Why would traxler sign alex 0xlade chamberlain. When you say, do i think he should go . I would like him to go because i do not believe 110w him to go because i do not believe now that Arsene Wenger can motivate those players. With everything that is going on above him and the way the players are performing on the pitch, for him to turn this around for himself, for his own sanity. We are three games in and it is already an absolute nightmare. Strong words from ian wright. I want to show you this. This is 0usmane dembele who has signed for barcelona from Borussia Dortmund who has signed for 100 35mm hounds. The wells media are watching. My are watching. My kids can do that. That is as bad as me and i am not worth £135 million. The cricket, they need to bowl out the west indies, it is the final day at headingley to win the second test. The west indies need 317 wins to run. Next another exclusive investigation by this programme into a controversial device implanted in women. After our revelations earlier this year that 800 patients in the uk were suing the nhs manufacturers over vaginal mesh implants, this morning were going to bring you news about a sterilisation device called essure. Its a coil which is inserted into the fallopian tubes, allows women to be sterilised without needing surgery. But weve learned it can lead to complications and side effects such as intense pain leaving some women with no choice but to have surgery to get it out including undergoing full hysterectomies. The sale of the implant called essure hasjust been temporarily suspended for commercial reasons. The manufacturer and regulator say the device is safe and the benefits outweigh some of the risks. 0ur reporterjean mackenzie has this exclusive report. It felt like i was being stabbed repeatedly, over and over and there was this hot, burning pain. That never ended. I felt like i was dying, there was something horribly wrong with me, something was slowly killing me from the inside. It is scary how something so small can cause much damage. If it was a person, i would hate it. This is essure, a device used to permanently sterilise women. The coils are inserted into the fallopian tubes to block them. Seen as revolutionary, the procedure does not require surgery. The device was sold to me on the understanding it was a very simple procedure. I would be in and out of the Doctors Office in ten and 20 minutes. It was the answer to all my prayers. That there would not be any recovery time. It had far less risks attached to it than traditional sterilisation. Approved for use on the nhs eight years ago, doctors promised women a quick and safe way to be sterilised. But this has not always been the case. Earlier this year we were contacted by women who told us that essure had made them seriously unwell. Since then we have learnt that there have been major problems with the device, often women are not being told about the risks and sometimes they are needing total hysterectomies to have it removed. It literally felt like somebody was pumping blood out of me. I could feel it sitting down, standing up. The day after emilys procedure things started to go wrong. The pain, i can remember it now, the sort of tummy ache that feels like somebody is on your insides and squishing everything. Emilys bleeding did not stop and doctors quickly had to remove her womb and fallopian tubes to get the implants out. But they only found one coil. The other was later found stuck in tissue surrounding her bowel and cannot be removed. When i go to the toilet the pain is there and i sometimes bleed from my back passage. It is just painful. All the time. What impact has it had on your life . Living in constant pain is really wearing. Me and andy find it very difficult to be intimate together because ijust cant take the pain. In regards to being a mum it stops me being a mum a lot of the time because it hurts. 0bviously they could be quite low down and that is really hard in every way, notjust in the physical pain, but in the emotional as well because it is quite hard to not be able to be the mum that i want to be. The essure coils are made from nickel and small polyester fibres. The fibres are designed to trigger inflammation inside the fallopian tubes, causing scar tissue to build up which eventually blocks the tubes, sterilising the woman. But this has caused some women intense pain and others have reacted badly to the materials. If you look at what it is made of, you start to get worried immediately. Carl hennigan has been looking at the medical evidence surrounding essure for the past three years. 10 of women are sensitive to nickel. There is an immediate problem, but it is also made of a compound which is present in this, pet, which, when you heat this bottle up, it will release compounds that are potentially dangerous in water. That heating happens in the human body and when you do that, it starts to release compounds into your body that can have all sorts of problems that can lead to serious issues. I wake up feeling drugged, i wake up in pain, feeling like i havent slept after a long sleep. I neverfeel like i have had enough sleep. The 25th of march, monday, 2013, pain, wrists, knuckles, shoulders, particularly between shoulder blades, burning sensation. For years victoria could not work out why she was so unwell and kept diaries documenting her symptoms. A dull thumping headache that radiates from the top of my spine. My mouth and teeth feel disgusting. We need to eat as many as we can before here. Tomorrow. Why . Because we are not going to be here. What is the most unwell that you have felt . Moments of really feeling like i could not get out of bed and being in an incredible amount of pain and having to go to bed. It was debilitating, i had to be in bed, there was nowhere else i could be. Underneath the duvet and painkillers and hide from the world. I felt like i was dying, there was something horribly, horribly wrong with me and i was going to die. Like i was being poisoned, something was slowly killing me from the inside. And how did you feel once you had had the surgery . What changed . Straightaway there was a difference. 0n waking up there was a difference. I had experienced a horrible taste in my mouth for i could not tell you for how long leading up to that point, and it had gone. I had lost a lock of hair. That came back, that stop falling out. Within 12 months it was just incredible. I was back to where i was before i had it done. The mistake that was made was they thought it was only going to be a localised inflammatory response just within the fallopian tubes. This doctor removes essure from women in the us. He is now advising doctors here on the technique. Do you think there is a Clear Association between the symptoms that many of these women are complaining about and this device . I do believe there is a Clear Association. When we removed the device in its entirety and do not leave any fragments behind, in 90 of the cases we are seeing the patients recovering withinjust a few hours or even a few days. While essure has worked well for many women, over the past few years thousands have come forward complaining of side effects and congregations. A Facebook Group here has more than 300 members, but a similar one in the us has more than 30,000. But it is impossible to know exactly how common problems are. The nhs cannot tell us how many women have been fitted with essure in the uk, or how many have had it removed. They simply do not know. The other way to find out is through the body that regulates our medical devices. We sent a freedom of information request to them, asking how many women have reported problems with the device, but they refused to tell us on this was commercially Sensitive Information that may impact the manufacturer. But we know that in the us more than 15,000 women have reported problems. These include pain, allergic reactions, and the coil is moving to other parts of the body. It is outrageous that they have to havejournalists or the media tried to get access to this information. You should not even need to use a freedom of information request, it should be on the website because you and i, but particularly the women affected, should be able to look at this data. Why dont we want to inform women . Many of the women we have spoken to were not warned about some of the risks involved. For laura who has an nickel allergy this would have devastating consequences. I was left stuck with these things inside my body that i was allergic to. I went from being a mother that was doing everything with her children, managing brilliantly, putting carpets down, decorating, and taking the kids here, there and everywhere to a mum that spent most of her days in bed, unable to move without pain, basically being a shell of myself and at some point suicidal. Did you really consider taking your own life . At one point when it was really bad, it seemed that even the painkillers they had me on, even morphine that i had to take home, itjust would not take the pain away. Nothing was stopping the pain. It was unbearable. I did not know, ifelt like i was a failure as a mother, that i was not the mother that i used to be, that i should be, that i was a burden on everyone around me who was having to pick up the pieces. I really felt like i could not go on. I am still not back to who i was. I still have days where all of my joints hurt, i am still in pain. The damage they caused inside me for all of that time will not ever be fixed. Here is what we have found out about the problems with essure. We have seen a letter sent by Cornwall Hospital in 2013 warning women who had had it figured that there had been an unexpectedly high failure rate. It then stopped using the device. In 2015, a robust study showed that women who had essure were ten times more likely to need follow up surgery than those who had had a traditional sterilisation. Researchers said this was a serious safety concern. We also got hold of a list of safety issues the nhs have had with essure over the years. These include the device perforating the fallopian tube, moving around and attaching to the stomach lining, being incorrectly placed and causing pain. So why are some hospitals are still using essure . Ben peytonjones used to implant the device until his hospital reduced the number of women they offer it to. Do you think that we should be using essure in the uk still has a sterilisation option . I think it has a place for women who cannot have a keyhole operation and they understand the risks and benefits of the device very clearly. Do you think it is a safe device . I think if it is used correctly by the manufacturers guidance and in trained hands, i think it is safe. Do you think with this procedure and with this device the benefits outweigh the risks . Would i suggest it is a procedure for my wife . I dont think i would because i think for her there are probably very suitable alternatives which have a Better Safety profile, but that is not to say that for some women they will feel that the perceived benefits for them outweigh any risks that they might be told about. No one signed up for saying, you know what, give me ten out of ten level pain and make me have to have my uterus removed two or three years from now. That is outrageous, that is unacceptable and yet we keep dismissing it. It is basically shame on every doctor who knows about essure who is not saying, this is something i cannot sign on with, i cannot continue to do it because of the risks to my patients. So how did this device get approved for use in the uk . The Clinical Trial evidence is so poor it is not even worth taking account of. That trial should have followed women up for five years. But they only followed them up for one year, so in effect nobody has got real understanding of what happens at two years, three years and five years. Seriously, there is insufficient evidence to use this device on the market right now, so it should be withdrawn. Do we need to be worried about other devices . Is our system flawed . We should be particularly worried about what is called implantable medical devices. Anything that you put inside of your body you want to know has long term safety evidence. That means you have to wait. When you look at the evidence that is used for devices across the board at this level, it is inferior. That says to me there is something inherently wrong in how we think about devices, in how we regulate them. Like vaginal meshes which we investigated earlier this year, you have a device that women are complaining about and yet again they feel they are not being listened to. It is clear that there are some risks associated with essure, and yet in the years since these have started to emerge very little has been done to inform or protect women. Last year, the american regulator ordered the manufacturer, bayer, to carry out long term testing on essure. It also forced them to put a warning on its box, but this has not happened here. I want to read you that warning. Some patients implanted with essure have experienced perforation of the fallopian tubes. The inserts have been found in the abdominal or pelvic cavity. Patients have reported persistent pain and suspected allergic or hypersensitivity reactions. It then goes on to say, if the device needs to be removed, then a surgical procedure will be required. If you had been told about these risks, would you have considered having this device . No. Not in a million years. Absolutely no way at all, especially the part with the nickel. No, of course not, no. Why would i . Why would anyone put themselves at that risk for contraception . Questions are now being asked. Earlier this month the sale of essure implants was suspended across the eu for three months. The manufacturer has asked hospitals not to use their existing stock during this time, but the regulator has left it up to individual trusts to decide. Both bayer and the nhra stress that this product is safe and that the majority of women experience no side effects. No one is listening to us, there are many women coming forward, approaching their gps, going back to the implanting doctors saying that i am unwell, i have been unwell since i had this product. We need to be acknowledged. How much evidence do you want to be in a position where you go, lets withdraw this device . This was a seriously bad idea. I wish it was never invented. I wish that i could go back all them years and say, dont do it, emily, do not do it. I wish i had never heard of essure. I wish i had never had it put inside me or lived through things that nobody should ever have to live through. Nobody should go through what i went through and yet there are so many women, there still are. You can read all about our story on the bbc news site. Janus says, it amazes me we implant stuff in our bodies when we are sensitive to the things they are made of. And laura says i am left with permanent debilitating issues from essure. I am so glad our voices are being heard and awareness raised for all that suffering. We asked the manufacturer and the regulator to appear in our film but they declined. Instead they gave us this length statement we would like to emphasise that recent independent expert reviews of essure carried out by medical devices safety authorities have each addressed the safety of essure in detail and have each concluded that essure has a positive benefit risk profile. This means that they consider essure is safe enough and also that it works sufficiently well. Many women with essure rely on this form of contraception without any side effects. Bayer encourages any women with questions to speak to their healthcare professionals. It says Patient Safety and the appropriate use of essure are the greatest priorities, and the Company Fully stands behind essure as an appropriate choice for women who desire permanent contraception. Women who currently have essure in place can continue to feel confident in having the device. They were also keen to stress that their request to hospitals not to use their existing stock is a voluntary request, and hospitals can make their own decisions. The mhra told us during the making of this film that they had no evidence to suggest this device was unsafe. With regards to the recent suspension, they told us this did not suggest an increased risk to Patient Safety. They said Patient Safety is our highest priority and we encourage the reporting of any adverse incidents with medical devices to mhra regardless of how long ago the implant was inserted. It is important that the patient and their Health Care Professional discuss the risks involved in the procedure we would talk about this after ten a m. Get in touch in the usual ways. We will be talking about the hurricane. Still to come. It was like nothing weve ever seen we hear the stories of people caught up in the catastrophic floods in texas. Reunited we speak to an 8 Year Old Girl caught up in the Manchester Arena bombings and the Police Officer who rescued her. Heres annita in the bbc newsroom with a summary of todays news. The United Nations Security Council is to hold an emergency meeting this afternoon after north korea fired a Ballistic Missile over northern japan. The missile, which fell into the sea triggered loudspeaker alerts warning people on the island of hokkaido, to take cover. Japans Prime Minister said it poses a serious threat to his nation. Boris johnson says he is outraged. The catastrophic flooding in texas is expected to get much worse, with officials warning they expect nearly half a Million People to seek assistance. With waters still rising, helicopters and hundreds of Specialist Vehicles have been deployed in the rescue effort. An emergency has also been declared in neighbouring louisiana, which is in storm harveys path. The number of uninsured drivers on british roads may be increasing for the first time in more than a decade according to new data obtained by the bbc. The motor insurance bureau, which processes claims by victims of uninsured drivers, say there was an increase of 10 tojuly of this year. That rise could suggest there are more uninsured drivers on uk roads. Thats a summary of the latest bbc news more at 10. 00 and now the sport. Johanna konta suffered a shock first round defeat in us open. She could have ended the tournament as the world number one. There was a stunning return to grand slam tennis for Maria Sharapova who knocked out simona halep after her 15 month doping suspension. Alex 0xlade chamberlain is on the verge of joining 0xlade chamberlain is on the verge ofjoining chelsea. A fee has been reported for the England International who is out of contract at the emirates next summer and he has refused to sign a new deal. Englands cricketers need to bowl out the west indies at headingley. The west indies need 317 runs to win on the final day, which gets underway in an hour and a half. Moorfield at 10 30 a m. , we will see you then. Catastrophic flooding in the us state of texas is expected to worsen in coming days as waters rise following a storm of historic proportions. Much of houston one of the largest American Cities is under water and millions of people are still there either trapped or unwilling to leave vulnerable homes. Officials in texas estimate around 450 thousand people will need help because of flooding from Tropical Storm harvey. Some 30,000 residents are likely to require emergency shelter. President trumps heading to the region today. The rain is pounding numbers and the wind gusts makes it difficult to stay standing. It appears to be one of the worst floods houston has ever had. We are measuring it not in inches, but in feet. We will get to you, i ask you to remain calm, remaina you, i ask you to remain calm, remain a little patient. This likely is going to be a historic rainfall, if not, all time record. Is going to be a historic rainfall, if not, alltime record. Right now, my apartment complex is surrounded by water. We couldnt leave, even if we wanted to. Flooding has ta ken flooding has taken place wherever there are rivers in the houston area. They are the ones, at this moment, in dire need of rescue. They are rescuing people in their 905. It is very overwhelming, they have got to walk her acro55 is very overwhelming, they have got to walk her across the street. Within ten to 15 minutes, the water we nt within ten to 15 minutes, the water went from ankle high up to waist high. They were under water. Here is the alligator moving along. It is taking its time. Now it looks like there is not only him, but now him we have received over 2000 phone calls throughout the greater houston metropolitan area, requesting assistance. The us president , donald trump, made an announcement last night, saying the government was 100 with the people of texas and louisiana and they were part of one American Family that hurts together, struggles together, and endures together. Nothing can defeat the unbreakable spirit of the people of texas and louisiana. Right now every american heart sends its love and support to those whose lives have been upended, totally upended, totally, by this very horrible storm. We ask god for his wisdom and strength, we will get through this, we will come out stronger and, believe me, we will be bigger, better, stronger than ever before. The rebuilding will begin and in the end it will be something very special. Lets talk now to some of those affected. Pa5tor Arron Sanders from a local church setup a shelter when red cross facilities became overwhelmed, mayoore de vries lives in houston near the heart of the worst affected di5trict5, and Richard Martin lives on the third floor of an apartment block on a street that flooded. Thank you for giving us your time today. Pastor, who are you looking after . There is nowhere for people to go as they came in from the storm. They were dripping wet and lost everything. The community organically organised three 5helter5 ina organically organised three 5helter5 in a matter of hours. Local school5 opened up the cafeterias, churches came together with nonprofits and the City Government and it was amazing to see the response. What kind of things are people saying to you about what they have lost in the flood5 . You about what they have lost in the floods . They are just in shock, to wa ke floods . They are just in shock, to wake up and sea water in your home and to try to wait it out and be re5cued, sometimes by helicopter, by boat. To have lost everything. Some of them arejust boat. To have lost everything. Some of them are just looking for loved ones and friends and relatives and havent been able to be in touch with them. They are in a desperate state. Richard, how stressful has it been . It hasnt been a stressful for me because i havent had any water in my apartment but i live about a quarter of a mile from the Central Business district and probably half a mile from one of the largest systems to the downtown area which has suffered some of the heaviest flooding. What is the situation like now . Today was very blustery, very windy. Raining. It has stopped a bit now, but the storm has gone back out into the gulf and is coming back up through houston and louisiana tomorrow. More rain is expected, i think another eight to 15 inches. Thank you for talking to us, we wish you all the best. Coming up we hearfrom a woman who was left suicidal after using the sterilisation device essure. Next this morning, we speak to an eight Year Old Girl caught up in the Manchester Arena bombing5 whos been reunited with the Police Officer who rescued her and drove her to hospital. Lily harrison suffered a shrapnel wound and a bruised lung in the blast at the Arianne Grande concert which killed 22 people. Pc cath daley 5aw lilys parent5 crouched around their unconscious daughter and decided they could not wait for an ambulance so drove the family to hospital. She was reunited with lily and her mother as part of an itv documentary. 0k . Ok . You 0k . Ok . You ok . Good to see you. Lily is very excited to see you. Come through. Thank you. Hello, lily. How are you . Good to see you again. Are you better . Yes. Good, what are you doing . Making a card for you. That i5 doing . Making a card for you. That is very nice of you, it is great to see you. Do i get a kiss . Yes. We are very grateful, without you getting us there, it could have been a completely different situation. She has recovered so quickly and you can see what she is like now. Then i think, we dont know how to thank you because you say, i wasjust doing myjob. We just dont know how to say thank you. You have said it, you dont need to say any more. Just seeing you guys here today is all the thanks i need, honestly. Really. You guys here today is all the thanks i need, honestly. Reallym that for me . Thank you very much. Thank you. Do i get a hug. Thank you, lily. Thanks very much. Lily harri5on, her mum Lauren Thorpe and pc cath daley are with us in the studio now. How are you . You look so well. How has it been recovering . Fun. Why do you say that . I get to do things i could not do before. Like what . Like i could not do handstands against the wall. You can do that now . With help from my mum and dad. We have made her a nice help from my mum and dad. We have made hera nice and help from my mum and dad. We have made her a nice and strong. That is a remarkable recovery. What do you recall from that night . I understand you were 15 feet away from the bomber. Ariana had just finished, lily wa5 bomber. Ariana had just finished, lily was really tired. It was a school night. We tried to leave quite quickly. We came out of the arena and into the room where the bomb went off. We went past the box office and that is when it went off. It was a little bit of a blur. We could see it in our peripheral. I remember seeing lily on the floor. She had made a sign 5he remember seeing lily on the floor. She had made a sign she was holding at the concert. He picked lily up like a rugby ball and said, lets go. We headed for the exit. I remember shouting, my leg. I go. We headed for the exit. I remembershouting, my leg. Icould feel less pain in my leg. It was covered in blood. I did not know what it was. We carried on running down the stairs. Someone stopped in front of adam, he fell over this person, this person fell with lily andi person, this person fell with lily and i fell over person, this person fell with lily and ifell over them. Person, this person fell with lily and i fell over them. We person, this person fell with lily and ifell over them. We tried person, this person fell with lily and i fell over them. We tried to get up as quickly as we could. 0bviously get up as quickly as we could. Obviously there were people coming behind us. We hurried up as quickly as we could. Adam picked her up and then he could feel this hall in her back. She said, i dont feel well. We were not in the rush of people in the car park. Adam brought her down and she was unconscious. So we lay her down so we could see what was going on. Sheju5t wasnt her down so we could see what was going on. She just wasnt waking her down so we could see what was going on. Sheju5t wasnt waking up. We looked at each other as if to say, this is it. She has gone. We did not know what to do with ourselves. We 5tood did not know what to do with ourselves. We stood there feeling helpless. Eventually she started to come back around. It was kind of 5uch come back around. It was kind of such a huge relief because we had gone from rock bottom to then she was gone from rock bottom to then she wa5 awake, so gone from rock bottom to then she was awake, so even gone from rock bottom to then she wa5 awake, so even though she had this injury to her back she was 5till this injury to her back she was still with us. We lifted herjacket up still with us. We lifted herjacket up and had a look, that is when we 5aw up and had a look, that is when we saw that she had a big hole in her back. Luckily there was a doctor picking up 5omeone back. Luckily there was a doctor picking up someone from the arena, 5he picking up someone from the arena, she came over with another Police Officer. Realised lily wa5 she came over with another Police Officer. Realised lily was not breathing properly. That is where came in. What did you think when you came in. What did you think when you came across them . When i arrived, as you can imagine, it was utter chaos. We got into the car park and i saw the sergeant treating lily. Had a brief conversation with him in relation to lilys breathing. There was a possibility that her lung could have been punctured as a result of the shrapnel. I was acutely aware that it may be some time before we got any medics to where we were. The information we had been given was the other side of the arena. The vehicle id arrived and wasa the arena. The vehicle id arrived and was a short distance away so we made the decision i would get her to hospital as soon as possible in the police vehicle. Thats what we did. My colleague picked up lily, we got her into the police van, sat you on your dads knee, and we got her the treatment that she needed. You made the right decision. So youve been treated by all these clever doctors, look at you now . It is amazing, isnt it . It is an amazing story when you think about what could have been. Just the recovery, she could not move her head for the first couple of days. Within a couple of days, she was Getting Better and better. Children are so re5ilient. She went from staring into space and not moving, all the doctors gave her incentive5 not moving, all the doctors gave her incentives to get moving again. Did you get to meet ariana . Yes and mummy and daddy. Especially daddy. What did she say to you . She said 5he what did she say to you . She said she could get a magazine for me so now ive got that framed in my bedroom. Have you . Obviously meant a lot to the little children in ho5pital. Lot to the little children in hospital. It was such a left. We phoned a package near the hospital. Then she turned up anyway. 0nce phoned a package near the hospital. Then she turned up anyway. Once we heard she was there, everyone was so excited. There was no others crying. She was great, wasnt she . She had load5 she was great, wasnt she . She had loads of pictures with you. Had so much time to chat to everyone. They we re much time to chat to everyone. They were brilliant. They found out we did not have tickets for the concert. The hospital 5orted that out. What would you say to cath, this wonderful lady . Thank you. It almost doe5 this wonderful lady . Thank you. It almost does not seem big enough but thatis almost does not seem big enough but that is it. It is just that. Full stop a5 that is it. It is just that. Full stop as you see in the documentary, seeing them here, picture of health, that is enough thanks that i and my colleagues in need. How long have you been in the force . Need. How long have you been in the force . Nearly 25 years. Ive never 5een force . Nearly 25 years. Ive never seen anything like we saw that night. It was human devastation. You we re night. It was human devastation. You were presumably in the force when the ira bomb hit manchester. A5toni5hingly, no loss of life then. That is right, yes. Buy 8 mac devastating. Thank you, all of you, thank you so much. Are you nearly fully recovered as well . Nearly there. Hopefully not long. It doesnt look very nice the first timel doesnt look very nice the first time i saw it, when it was not all like it is now, i started crying. Im not surprised. Thank you, all of you. Very much. Continue to get well. Thank you. You can see the full documentary on itv tonight at 9pm. Let me bring you this news. Devon and Cornwall Police say they we re devon and Cornwall Police say they were notified yesterday of reports ofa were notified yesterday of reports of a missing four year old boy at an Activity Centre in bedford. The police said following an extensive search, the child has been located. Very sadly, he was pronounced dead. The next of kin have been informed. Police enquiries continue. We will bring you the latest news and sport inafew bring you the latest news and sport in a few moments. Before that here i5 in a few moments. Before that here is the weather. Weve been seeing picture5 weve been seeing pictures of Tropical Storm harvey and this is how much rainfall we still have from the Tropical Storm. Half of it is on5hore. It is picking up the energy and depositing it. Reports show that weve had roamed about a metre of rainfall so far. By the end of tomorrow it could be 1. 5 metres. Through the course of tomorrow it will drift northwards and eastwards. The amount of rain will slowly ease. It could wor5en acro55 louisiana and mi55issippi. Back home weve got different weather. Weve got a weather front drifting southwards. The cloud is being taken with it. Itll be a fairly breezy day ahead and wed have a mixture of sunshine and wed have a mixture of sunshine and showers. A5 and wed have a mixture of sunshine and showers. As that weather front sinks sofa at it will brighten up. The cloud will move across. Part of the south east are hanging on. It could reach 27 or 28. The dry weather with sunny intervals, the sun coming out across wales. For che5hire into cumbria and lancashire, bright afternoon. There will be a peppering of showers. Many of us will have a dry day with some sunny 5kies. Through this evening and overnight, if anything it will rejuvenate and we will see heavy showers clipping the south east. At the same time weve got a band of rain coming in. For scotland and Northern Ireland, another breezy day. The two bands of rain are trying to merge. Couple that with the northerly wind. It will feel colder. We will have a good 10 degrees drop in temperature. A quick look at thursday. Showers feeding in from the west. Hello its tuesday, its10. 00am, im Victoria Derbyshire. Japans Prime Minister says the release of a Ballistic Missile over his country says it is a threat. Release of a Ballistic Missile over his country says it is a threatm isnt immediately clear when its launched if it is flying overjapan or towards japan and my land launched if it is flying overjapan or towardsjapan and my land in japan. Warning sirens went off on local people were told to take cover. The United Nations Security Council is to hold an emergency meeting this afternoon. Well be talking to eyewitnesses in northern japan about what it was like when they heard those sirens. In an exclusive to this programme well be speaking to women who have had to undergo surgery to remove a controversial sterilisation implant, used by the nhs, after they were left in debilitating pain. I felt like i was dying, something horribly, horribly wrong with me and i was going to die. Like i was being poisoned and something slowly killing me from the outside. Well be speaking to a doctor who fits the device and woman who is due to have a hysterectomy after having an implant fitted. The deadline for Free Childcare for three and four year olds is only a few days away. From this friday mums and dads can claim up to 30 hours charities have argued that the govermental scheme hasnt been funded properly. Your experience is welcome, as always. Good morning. Heres annita in the bbc newsroom with a summary of todays news. The United Nations Security Council is to hold an emergency meeting this afternoon, after north korea fired a Ballistic Missile over northern japan. The missile, which fell into the sea, triggered loudspeaker alerts warning people on the island of hokkaido to take cover. Japans Prime Minister said the launch represented a serious threat to his nation. The us disarmament ambassador called the test a provocation. the catastrophic flooding in texas is expected to get much worse, with officials warning they expect nearly half a Million People to seek assistance. With waters still rising, helicopters and hundreds of Specialist Vehicles have been deployed in the rescue effort. An emergency has also been declared in neighbouring louisiana, which is in storm harveys path. A four year old boy has been found deadin a four year old boy has been found dead ina a four year old boy has been found dead in a Swimming Pool in devon. The police were called about a missing boy in bedford. After a surge by the helicopter, the child was found in a Swimming Pool where he was taken to hospital and pronounced dead. The boys kin have been informed and enquiries are continuing. An exclusive investigation for the Victoria Derbyshire programme has revealed a sterilisation device called essure can lead to complications requiring full hysterectomies. The sale of the implant has just been temporarily suspended for commercial reasons. The manufacturer and regulator say the device is safe and the benefits outweigh some of the risks. The number of uninsured drivers on british roads may be increasing for the first time in more than a decade according to new data obtained by the bbc. The motor insurance bureau, which processes claims by victims of uninsured drivers, say there was an increase of 10 tojuly of this year. That rise could suggest that there are more uninsured people driving on uk roads. Thats a summary of the latest bbc news more at 10. 30. Do get in touch with us throughout the morning use the hashtag victoria live and if you text, you will be charged at the Standard Network rate. Marjorie on facebook has got in touch about the essure report. She says i was sterilised in 1980, and then three years later i had to have a hysterectomy. For those three yea rs i a hysterectomy. For those three years i had to have i was in co nsta nt years i had to have i was in constant pain and i still havent had any answer as to where those metal clips had gone to. David says, how can the nhs justify the use of this device. Thank you for those. Heres some sport now. Johanna kontas wait for a maiden tennis grand slam continues, the british number ones been knocked out in the first round of the us open, losing to the unseeded serbian aleksandra krunic. Konta was among the favourites for the title and could have ended the tournament as world number one. Konta took the first set, but the world number 78 fought back to leave konta still looking for that elusive first grand slam title. It would be quite obnoxious of me to come in here expecting that i have a right to be in the second week. I am very much aware for me to have that opportunity, i need to work very hard. For me losing in the first round, its obviously not ideal, as it isnt anybody. I think everybody coming here wants to be in as long as possible. I lost to the better player today and that is how sport goes. There was a successful return to grand slam tennis for Maria Sharapova following her 15 month doping ban. The russian beat world number two simona halep in three sets. Sharapova was given a wild card to enter the main draw. Shes currently ranked 146th in the world. We have just completed so well against each other in the past and have produced some really good tennis. Despite not playing a lot of matches coming into this, it almost seemed like i had no right to win this match today. I somehow did. I think that is what i am most proud of. Heather watsons poor run at flushing meadows continues. The british number two was knocked out by alizay cornet in straight sets. Its the seventh successive year watson has gone out in the first round. A better day for britains men though. Kyle edmund won his first round match against robin hasse in straight sets. Hes joined in the second round by youngster Cameron Norrie after his opponent, Dmitry Tursonov retired through injury in the third set. Norrie, whos ranked outside the worlds top 200, was leading by two sets to love at the time. Were just an hour away from the start of the final days play in the second test between england and the west indies at headingley. The west indies require an unlikely 317 runs to win the match but they do have all ten second innings wickets in hand. Englands batsmen dominated day four, with six of them scoring half centuries in the second innings ben stokes getting himself 58. But it was moeen ali who who put the match in englands favour, scoring 84 offjust 93 balls. A win for england will seal the series. And the problems continue to mount for Arsene Wenger, beaten 4 0 by liverpool on sunday, now midfielder alex 0xlade chamberlain looks set to leave the emirates and join chelsea. The england midfielders contract expires next summer, hes refused to commit his future at the emirates. Chelsea have declined to comment but its understood theyve agreed a transfer fee for the 24 year old. Liverpool have agreed a Club Record Fee of 48 Million Pounds for leipzig for midfielder naby keita. But the Guinea International wont move to anfield until next summer. We will have the headlines in half an hour. This programme has learnt that a number of women are having to undergo hysterectomies to remove a sterilisation device used on the nhs. The essure implant is used to permanently sterilise women, but can cause side effects and complications including severe pain. One woman, who had her uterus removed as a result, told us she was left suicidal due to the unbearable pain, and felt she was a burden to her family. The manufacturer says essure is safe and the benefits outweigh the risks. The sale of the implants in the eu was temporarily suspended this month for commercial reasons. We bought you our reporterjean mackenzies full report earlier heres a short extract. It felt like i was being stabbed repeatedly, over and over, and there was this hot, burning pain that never ended. Laura remembers being fitted with essure, an implant used by the nhs to sterilise women. I went from being a mum that was doing everything with her children, to a mum that spent most of her days in bed, unable to move without pain, to basically being a shell of myself and at one point suicidal. The small coils which are made from nickel and polyester are inserted into the fallopian tubes. They are designed to trigger inflammation which causes scar tissue to build up, eventually blocking the tubes. If you look what it is made of, you start to get worried immediately. 10 of women are sensitive to nickel, there is an immediate problem, but it is also made of a compound which is present in this, pet. When you heat this bottle up, it will release compounds that are potentially dangerous into the water. That heating happens in the human body. While essure works well for many women, thousands have reported side effects and complications around the world. We have seen a list of problems the nhs has had with the device. These include the device perforating the fallopian tubes, moving around and attaching to the stomach lining, being incorrectly placed and causing pain. I felt like i was a failure as a mother, that i was not the mum that i used to be, that i should be, that i was a burden on everybody around me that was having to pick up the pieces. I really felt i couldnt go on. When women have complications it often requires a hysterectomy to remove the coils. How much evidence do you want to be in a position where you go, lets withdraw this device . This was a seriously bad idea. I think it has a place for women who cannot have a keyhole operation and they understand the risks and benefits of the device very clearly. Do you think with this procedure or with this device the benefits outweigh the risk . Would i suggest it is a procedure for my wife . Well, i dont think i would because i think for her there are probably very suitable alternatives which probably have a Better Safety profile. This month the sale of essure was temporarily suspended across the eu. Questions are being asked. But the regulator and manufacturer both stress this product is safe and many women have no side effects. I wish i had never had it put inside of me or lived through things that nobody should ever have to live through. Nobody should go through what i went through and yet there are so many women that still are. We can speak now to toni collard, who had essure fitted six years ago. Shes had problems with it and is due to have a hysterectomy in the next couple of months. Alison harding had the device put in two years ago and had a hysterectomy last year to remove it. Carl heneghan is a doctor and heads up the medical Evidence Team at oxford university. Hes been examining the evidence on essure for three years. And dr Stephen Burrell is an nhs consultant who fits the device. Hes speaking to us from luton and dunstable hospital. Thank you all very much for talking to others. Since he had the device fitted, toni, how has your life been . I wanted the device fitting because i had finished having babies. I was running my own business and i needed to be ready to go and essure was sold to me that i would be in and out in my lunch hour. It sounded perfect. Iwasnt told about these horrendous side effects. I went and had it fitted in my lunch hour. Instantly, i was bleeding. I bled constantly for months, months and months. That was the first sign, as i see it now. The pain started instantly. I thought it would settle, it never did. I visited the doctor and the doctor told me that things would settle. Things never did. A few months later i had things never did. A few months later ihad an things never did. A few months later i had an ablation to stop the bleeding. 0ne i had an ablation to stop the bleeding. One of the coils was pulled out of the fallopian tube when they did the ablation. I wasnt sterilised after that so i had to have a laparoscopic sterilisation anyway. Which is what you are trying to avoid, trying to avoid surgery . Yes. I have gone to have surgery since then because the other essure coyle has migrated into my uterus. They cannot retrieve it. I have add two general anaesthetics, countless local anaesthetics and i am due to have a total hysterectomy to remove my uterus and take the essure a way which is causing me awful problems on the 15th of october. What do you think about what you have enjoyed . On the 15th of october. What do you think about what you have enjoyed . |j think about what you have enjoyed . think it is dreadful, i feel abused. I feel as though i think it is dreadful, i feel abused. Ifeel as though i have been abused. I went ifeel as though i have been abused. Iwent in, ifeel as though i have been abused. I went in, nobody likes to have even a smear. So to have these potting, it was going to be difficult, it wasnt going to be pleasant, but it wasnt going to be pleasant, but it was going to be done. The constant procedures i have had to have done, ido procedures i have had to have done, i do feel abused. Are you adamant there was no conversation with the co nsulta nt there was no conversation with the consultant about the potential risks . No, i was consultant about the potential risks . No, iwas told i might consultant about the potential risks . No, i was told i might spot later, but i was told it would be no worse than having a smear or having another coil fitted. I wasnt told about the effects that are happening to me. Allison, you are nodding in agreement when i asked hokkaido, was there no conversation about potential risks . No, i was there no conversation about potential risks . No, iwas the there no conversation about potential risks . No, i was the same. I was told the normal risks you might expect with any normal general anaesthetic because i had to have my essure put under general. They attempted it under without first, but they had to do it with a general. I remember asking but they had to do it with a general. I rememberasking what but they had to do it with a general. I remember asking what it was made of. I was told it was nothing more offensive than anything that was used in artificial knees or hips. They said it was surgical steel and nylon and it was inert, which isnt true. As a result, i have gone on to have excruciating pain, debilitating pain because of it. How does that impact on your daily life . Before the hysterectomy . I would be at work, i would spend my evenings kneeling on the floor, crying from the pain. It was that bad. That was every night. After the hysterectomy . Ive been absolutely fine. I have no more pain. Ive got a statement from the manufacturers which i will read in a moment but let me bring in doctor stephen borrell, a consultant who fixed the device. How do you respond to the evidence . They are very distressing stories to hear and we always aim to do the best for our patients. We never want to learn that any procedure has caused any problems consequently. In relation to the essu re consequently. In relation to the essure device, it has been evaluated in studies. My feeling is women should be advised of this prior to the insertion. We should give as accurate as we can. From the studies performed this is less than 1 of women having this problem. Wit is no consolation, would you acknowledge . Those 1 have had major surgery. Absolutely, but it is approximately the same. The exact reasons for why these women suffered the symptoms, we are not knowledgeable about. Are you shocked that in these cases they we re you shocked that in these cases they were not given the information . That doesnt sound correct. Women always have the consent form with me. There is no doubt the consent form was signed, it is whether our conversation was had regarding the risks. Are you shocked it did not happen . I am surprised it did not happen. This is a message from facebook, persuaded the hospital i was having this fetid, since having it fitted i have suffered from extreme tiredness, pain, bleeding thatis extreme tiredness, pain, bleeding that is so severe i cannot leave the house. Muscle weakness, thinning hair. Most days i wake up feeling i have not slept at all. These symptoms began very quickly after the implant. They continued to affect me every day. Nobody seems to ta ke affect me every day. Nobody seems to take it seriously. Im very angry. Another on facebook, after it was put in there was no follow up. I had co nsta nt put in there was no follow up. I had constant pain in my stomach. Carl hennigan, you head up the medical tea m hennigan, you head up the medical team at oxford university. Youve heard what the nhs consultant says, heard what the nhs consultant says, he has looked at the evidence. work for the nhs as well as a gp and iam work for the nhs as well as a gp and i am ashamed and i think the nhs should be ashamed. Weve got to take our head out of the sand. The quality of evidence was ridiculous, it was so bad, it doesnt make sense but we got outside of the research context. I dont know what study the co nsulta nt context. I dont know what study the consultant is looking at, but the only study that ever compared the device was more than tenfold increase of risk. That was 13 years after the advice was on the market. In america it is being said we need a Clinical Trial. That is 15 years after weve gone on the market. We have people not telling the truth about studies. I am ashamed to say to these women, i feel for you, we have let people down. We have this systematic way of saying it is in your head. It has got to stop. Weve got to end that, weve got to take people seriously, and change the way we do this. Weve got to acknowledge the problem is that our existing. What should happen to essure now . Sale has been suspended for three months for commercial reasons, not for Patient Safety reasons. That happens with all devices when they are going badly wrong. It is before the regulator goes and says theyve made a serious mistake. The manufacturer said. We would like to emphasise that recent independent expert reviews of essure carried out by medical devices safety authorities have each addressed the safety of essure in detail and have each concluded that essure has a positive benefit risk profile. This means that they consider essure is safe enough and also that it works sufficiently well. Many women with essure rely on this form of contraception without any side effects. Bayer encourages any women with questions to speak to their healthcare professionals. It says Patient Safety and the appropriate use of essure are the greatest priorities, and the Company Fully stands behind essure as an appropriate choice for women who desire permanent contraception. Women who currently have essure in place can continue to feel confident in having the device. The manufacturer would say that because this is going to be a serious litigation case globally, nearly 1 serious litigation case globally, nearly1 million women have had this. What will happen is it will be removed from the market. That will happen. It has been withdrawn in finland. Theyve got Serious Problems in france. You will be left with thousands of women with a lifelong device. How can we have a situation where a manufacturer a bsolves situation where a manufacturer absolves itself of responsibility . There was no evidence beyond one year on safety. Quite a few people have mentioned that this device contains nickel, which some are allergic to. What do you make of that . When it was approved in america, you needed allergy testing. In 2011 the manufacturer convinced the fta to downgrade it to a warning. That means nobody was told about the nickel. The manufacturer has shown it does leak nickel, despite ten or 20 of women, it has been an allergy of the year because it has consistent problems so we are removing it from jewellery. Why would you want that in your body . Are you still an advocate of this having heard what youve heard . think it needs to be kept in context. I appreciate what weve heard. It was published injuly. They found, examining the evidence, that it was safe. The vast majority have no problem with it at all. I know the study that has been mentioned about further surgery, 96 of women do not require any further procedure. We are comparing a slightly different scenario. From my perspective, not to say there arent some issues, some women have suffered very severely. We would like to reassure woman that the vast majority of them will be absolutely fine with this device. I think we need more information as to whether it is suitable for everyone. It is not unusual that a surgery at full surgical device will have people not reacting. You dont receive a feed from the manufacturers . not reacting. You dont receive a feed from the manufacturers . I do not receive any money. Nobody is checking on these women. You will probably have the check to see if you are sterilised. Beyond that, nobody is checking on these women. The problems may not reveal themselves in the first three months. These ladies are going into the gp and they are not believed. Every note of mine tells me that i am depressed. I am not. Every note of mine tells me that i am depressed. Iam not. I every note of mine tells me that i am depressed. I am not. I am fed up with the problems i am getting. All these things are happening to me. We area these things are happening to me. We are a group of 300 women. Weve not made the same symptoms up. This is happening. There is a problem with this device. I urge anyone having these problems to get themselves checked out and be firm. So many similarities to the joiner mash investigation vaginal mesh. We wa nt to investigation vaginal mesh. We want to know about this, we want to know that essure is as good as we think it is. We want to do the best for our patients. We want them to make the decision. They can only do that if they have the information upfront. Thank you for taking time out of your day. We invited the manufacturer to appear in our film and take part. They are keen to emphasise. Many women rely on it without any side effects. We have asked the regulator to talk to us. They have turned down the request, as have those who offer advice on it. The mhra told us they had no evidence to suggest this device was u nsafe. Evidence to suggest this device was unsafe. They told us the recent suspension did not suggest a risk increasing to Patient Safety. They encourage the reporting of any adverse incidents regardless of how long ago it was inserted. League 1, it is important that the patient and Health Care Professional discuss the risks involved. Still to come is the high cost of insurance for Young Drivers making them take the risk of driving uninsured . Well speak to a woman who we speak to a woman who broke her back and was told shed never walk again after being hit by uninsured driver as she crossed the road. North korea has fired a missile that flew over north japan before crashing into the sea. It prompted an alert and people were told to take cover in basements or concrete buildings. The japanese Prime Minister, has expressed outrage and therell be an emergency meeting of the un Security Council this afternoon. This was the sound that woke most people up in parts of northern japan this morning. Siren we can speak now toJonathan Knight, an englishman living in hirafu, in northern japan, and alex pettitt, also from the uk, whos an assistant professor in physics at hokkaido university, in northern japan. We can also talk to professor hazel smith, thank you for all talking to us. Tell us what it was like when you heard those sirens. It woke me up. Iwas you heard those sirens. It woke me up. I was fast asleep. There is a system that is like getting a text message on your phone. The message said, a missile has been launched. The audio you played is the same one that operates across japan. You could hear in the background what you just played. It says exactly what you said, to take cover. That is what woke me up. You sound very calm. It is a sense of calm. Everybody has gone to work as normal. The kids are back in school. There was a second message 15 minutes after that said the missile had passed over and landed 230 kilometres from where i live. It said, dont touch any fragments. The japanese are a stoic bunch. They just carry on. Alex, how did you react . Confusion. We have emergency warnings for typhoons but the sound was very different. When they read out what the message said, it was, why would they be targeting us . It does not make sense. We looked outside and there was nobody panicking, everybody was calm. It was strange. We had so little time. Hazel smith, what will stop north korea doing this . The ongoing security contest between the major protagonist in the region, until there is a security deal that resolves the underlying political problems, they will continue with the Missile Development programme, which is what this test was and they will continue to develop a Nuclear Weapons programme. We know they will continue to do this because they have us. Whether we agree with them or not, they will build a Nuclear Deterrent which prevents anybody invading them and so they will continue with this programme. What chanceis continue with this programme. What chance is there ever of being a security deal . We have seen major conflicts in the past where protagonists have hated each other, being resolved. We have seen ireland, where john major and tony blair got around the table with the ira, people they considered terrorists. In colombia, there has beena terrorists. In colombia, there has been a major peace deal after the end ofan been a major peace deal after the end of an extraordinary brutal civil war. Both parties have now come together. But what that needs on all sides is a measure of very brave diplomacy, whereby people will come together will take the decision to come together because they will argue that 0k, come together because they will argue that ok, the United States is much stronger than north korea but nevertheless it would be a terrible catastrophe if there was a military conflict. North korea is small, but it is able to do damage. In that position, nobody can win in the short term in a military conflict. The only answer, is there anybody who will put their head above the parapet and say, we will go for this diplomacy with people we considered distasteful and damaging to their owii distasteful and damaging to their own people, and of course there is always lots of problems in the last 20, 30 years. That is the always lots of problems in the last 20,30 years. That is the big question. Thank you very much, hazel smith, Jonathan Knight and alex. With the news heres annita in the bbc newsroom. The United Nations Security Council is to hold an emergency meeting this afternoon, after north korea fired a Ballistic Missile over northern japan. The missile, which fell into the sea, triggered loudspeaker alerts warning people on the island of hokkaido to take cover. Japans Prime Minister said the launch represented a serious threat to his nation. The us disarmament ambassador called the test a provocation. The catastrophic flooding in texas is expected to get much worse, with officials warning they expect nearly half a Million People to seek assistance. With waters still rising, helicopters and hundreds of Specialist Vehicles have been deployed in the rescue effort. An emergency has also been declared in neighbouring louisiana, which is in storm harveys path. A four year old boy has died in hospital after being found in a Swimming Pool in devon. Police were called to reports of a missing child at the knapp house Activity Centre in bideford. After a search assisted by the Police Helicopter the child was found in a Swimming Pool on the site and taken to hospital where he was pronounced dead. The boys next of kin have been informed and enquiries are continuing. An exclusive investigation for this programme has revealed a sterilisation device called essure can lead to complications requiring full hysterectomies. The sale of the implant has just been temporarily suspended for commercial reasons. The manufacturer and regulator say the device is safe and the benefits outweigh some of the risks. Thats a summary of the latest news, join me for bbc newsroom live at 11 00am. Heres some sport now. Johanna kontas wait for a maiden tennis grand slam continues, the british number ones been knocked out in the first round of the us open, losing to the unseeded serbian aleksandra krunic. Konta was among the favourites for the title and could have ended the tournament as world number one. Konta took the first set, but the world number 78 fought back to leave konta still looking for that elusive first grand slam title. There was a successful return to grand slam tennis for Maria Sharapova following her 15 month doping ban. The russian beat world number two simona halep in three sets. And the problems continue to mount for Arsene Wenger, beaten 4 0 by liverpool on sunday, now midfielder alex 0xlade chamberlain looks set to leave the emirates and join chelsea. The england midfielders contract expires next summer, hes refused to commit his future at the emirates. Liverpool have agreed a Club Record Fee of 48 Million Pounds for leipzig for midfielder naby keita. But the Guinea International wont move to anfield until next summer. And liverpool have confirmed a deal for rb leipzigs naby keita tojoin the club next summer. Englands batsmen dominated day four, with six of them scoring half centuries in the second innings ben stokes getting himself 58. But it was moeen ali who who put the match in englands favour, scoring 84 offjust 93 balls. A win for england will seal the series. Some mp5 are calling for an urgent review after it emerged that a 5 year old christian girl had been placed with Muslim Foster carers reportedly against the wishes of her family. Children being fostered are normally placed with families of the same cultural background but a shortage of Foster Carers can mean that doesnt always happen. Ina in a moment we are hoping to speak toa in a moment we are hoping to speak to a charity that helps disadvantaged children through fostering or adoption. Joining me from westminster is neil carmichael, the former conservative mp, who launched an inquiry into foster care when he was chairman of the education select committee. There are not that many facts we know about, this particular story. But what is your reaction to the broad headline . It is difficult to get down to the facts, because these are personal situations, individuals trapped in a situation which is not good. It is an acceptable for this to have arisen, where a young child is in to have arisen, where a young child isina to have arisen, where a young child is in a situation where neither her cultural or language is being properly respected. 0f cultural or language is being properly respected. Of course, the United Nations makes it clear such considerations must be taken into account. So the council has not done that and i think it is a failure of childrens services. To be fair, we dont know if the council did not do that, we do not know . The outcome is what we can judge this on and the outcome is unacceptable, that this young girl is in the situation she has found herself in. Despite pleading to her family, has found herself in. Despite pleading to herfamily, pleading to the council. There are questions to be asked. 0ne the council. There are questions to be asked. One is, where independent sources of fostering consulted, or accessed . 0f sources of fostering consulted, or accessed . Of course, the enquiry which i intend to have before the general election, would have discussed the number of foster ca re rs we discussed the number of Foster Carers we do have and the support they get for situations they are in. We know there arent enough. That is right. That is why we need to encourage more people to become Foster Carers and that is one of the thrusts the enquiry would have had. Again, as thrusts the enquiry would have had. Again, as i say, we dont know the full facts of the story. Would it be unacceptable full facts of the story. Would it be u na cce pta ble to full facts of the story. Would it be unacceptable to you if there were no other Foster Carers available, would it be unacceptable for this christian child to be placed with Muslim Foster carers . In this situation, i think the answer must be yes. The childrens commissioner will be launching an enquiry. Quite right too. The outcome of the decisions that were made in Tower Hamlets about this particular child have not been taken into account, the proper processes. It is very clear cultural language and issues should be taken into account. These we re should be taken into account. These were not taken into account because the outcome would have been different if they had been. What we have to do is ask a few questions about the number of Foster Carers that are available in Tower Hamlets and elsewhere. Whether or not the council was consulting other councils. It is notjust foster ca re rs councils. It is notjust Foster Carers within their geographical area that can help. There are other possibilities. The Central Point you make, and it is the right one, is we dont have enough Foster Carers. It is important to think carefully about the support they get from the councils they operate under and that they do get appropriate payment and support where that is needed. We can talk to carol from action for children which helps disadvantaged children through fostering or adoption. Thank you for talking to us, we cannot talk about this particular case, but tell us about the guidance when it comes to how children are fostered in terms of looking at their cultural or religious background . Looking at their cultural or religious background . The guidance generally is you try to make as good a match as possible for the child. You take into consideration the cultural aspects of their background. In general, that would be the preference, that you find the best match for the child. Its not just their cultural, but also all their needs can be met by that foster carer. How do you react to a christian child, we are being told being placed with Muslim Foster carers . I dont know the individual situation so i cannot comment. You can see a scenario where that could be justified . There could be circumstances. A child could be placed with a non moslem family or other circumstances, it depends on the needs of the child. If it is true the child didnt speak the language the cost Foster Carers spoke, that would be unusual . Yes, because how would the needs of the child be met if there would be a language barrier. Clearly, the childs needs have to be paramount and the foster carer has to be in a position to meet those needs. Thank you very much to you both. Tower Hamlets Council said in a statement that they cant comment on individual cases, but. The department of education told us that. A childs background is an important consideration in this decision and local authorities will take this into account alongside the full range of the childs needs when making fostering arrangements. Parents of three and four year olds in england have just a few days left to apply for Free Childcare. From this friday, working mums and dads can claim up to 30 hours if they meet certain criteria. But Charities Say the governmental scheme has not been properly funded and will put too much pressure on parents and nurseries to cover the financial gap. There have been also been technical problems with the application process which mean thousands of families have so far struggled to register. Lets talk to ian morgan, who runs a nursery in berkshire and says he cant afford to offer 30 hours of Free Childcare. Edward burdall owns several nurseries in sheffield. He says it is possible to offer the 30 hours without charging parents for extras. Nicola canning hasjust had her 30 hours confirmed after applying for it nearly four months ago. And becks hudson has a three year old son and says the government scheme is not sustainable. Thank you for coming on the programme. You both run nurseries, you both have opposite viewpoints on this. Edward, you say you can afford to offer this 30 hours of Free Childcare. Ian, you say you cant. Why . Basically, my hourly rate for delivering childcare is £5 an hour. The government is offering me for pounds 35 so for every hour i am making a 65p loss, which for 15 hours in the year, that equates to about £400 and 430 hours, that equates to £600 plus. Why cant you offer it for £4 34 . I have excellent resources at my nursery. I have very well qualified staff. I offer children meals and things. A parent is getting an Outstanding Service from us. Edward, presumably you have qualified staff and offer meals, how are you managing to do it . We get, in sheffield, a base rate of £4 seven, but like a lot of local authorities, that varies across the city. That is down to the settlement the local authority get. We offer the local authority get. We offer the 30 hours to all our parents and we can achieve that. How do we achieve that . We achieve that by knowing our own setting and we have an outstanding setting which delivers food with no extras and we are able to do that. We dont cut corners, but we have found with the tools we are given, the rate we have got, it is something we have to deliver and we do do that. Without cutting corners, so it is not about cutting corners, so it is not about cutting members of staff . No, we follow the ratio across all our settings. We are inspected by 0fsted and we have fully trained staff. We have been credited with outstanding in one of our settings and the other two are good. We offer the 30 hours and we have space. What i would say, the uptake of 30 hours has been very slow in ourarea, the uptake of 30 hours has been very slow in our area, but the rate per hour, which is what we all talk about is what we live and breathe and that is not a level Playing Field across the uk. That the problem. Sheffields settlement from the government clearly is not as much. That is dictated by 95 of the councils. Obviously, it is different across the uk. Ian can do it on a lesser rate than you. Because hes in the north of england that does not make sense. We know that some can deliver it in parts of the country on the figures they are given. I cannot. Country on the figures they are given. Icannot. I country on the figures they are given. I cannot. Iwant country on the figures they are given. I cannot. I want my nursery to make a profit. I need to make a profit. And i am not prepared to compromise. My profit goes back into the nursery. Ive invested £170,000 into the nursery. Lets bring in colour in nicola. You are in favour in principle, presumably . have four children, i am eligible for 30 hours, but it does not work in suffolk. The rate to the council is £4 31 but we get £3 87. I am making a significant loss. As a pa rent making a significant loss. As a parent i would needs to make it up in some form. You are asking parents to chip in. It is the only way we can make it work. Why is your rates £3 87 . Weve done a freedom of information request as to why the rate is so different. The government promised there would be a minimum of £4 per hour. Norfolk is one of the lowest pa id £4 per hour. Norfolk is one of the lowest paid providers. They are getting the money from the government but not giving it to you . Yes. There is a gap in the suffolk funding rate. Winners that going . We have asked. We are scrambling around but it equates to £500,000. Where are you . My child has been at this nursery since he was ten months old. He has had an amazing care. The nursery is needing to make up the shortfall. My nursery has been fantastic. You mean if parents cannot make up the shortfall . Yes, some nurseries have consulted and made it very clear in order to keep the quality, the shortfall needs to be made up. That is a £150 shortfall. Some parents can afford it and others cannot. I can and im more than happy to make up the shortfall to enable my nursery to keep running. Finalthought. Youve just had 30 hours confirmed. There have been a few problems. Briefly, the department for education says, if you can show that you tried to register you will still get your place. It is notjust registering, you then need to pass it on, there is another hold up then. It took me several phone calls, several e mails, sometimes they give it to you on the phone and others give it online. The minister for children said the 30 offer is being delivered across the country with 15,000 children benefiting. Providers are committed to offering 30 hours and the additional three are having a really positive impact. Group has brought here is parents and providers together. Theyve bought out the early implementers and it did work. They paid them a high rate. We brought you the news that a four year old boy has died after being found in a Swimming Pool. A reporter is in plymouth. What can you tell us . Devon and Cornwall Police were called to the Activity Centre just before 3pm yesterday afternoon to reports of a missing four year old boy. They carried out an extensive search. The child was found ina an extensive search. The child was found in a Swimming Pool at the site. He was taken to the hospital where he was pronounced dead. The next of kin have been informed and the death is treated as unexplained at this stage. It happened in a week long Summer Holiday camp out organised by narcotics anonymous for members and their families. The charity has released a statement and it says. Tragically, something has gone horrifically wrong. The statement goes on to say that we are devastated that a truly wonderful week ended so tragically. Thank you. New figures obtained by the bbc suggest levels of uninsured driving may be rising for the first time in more than a decade. Claims handled by the Motor Insurers Bureau increased by almost 10 in the year tojuly. The average cost for a driver aged between 18 20 is £973 per year. If that leading to a rise in uninsured drivers . We can speak now to dan hagan. He organises car rallies in essex and pays £1,600 a year for his motor insurance and says he understands why some young people take the risk of driving uninsured. Laura wellington is also here, he was hit by a car being driven she was hit by a car being driven by a drunk and uninsured driver as she crossed the road. What happened . What happened . I broke my back and i had head injuries, ifractured my skull and tore my shoulder. Spinal and head injuries. Pretty horrific. Yes. I was in a back brace for three months from my spinal fractures. It was three years ago and i am still recovering. I still have a lot of pain and memory problems and migraines. And you were simply crossing the road. I was with two friends at the time. We were going back to the house, got off the bus, crossing the road, he hit me. He pleaded guilty. What punishment did he receive . A 17 month driving ban and a small fine. A few points. Is that it . Yes. The sign was less than the average cost. It was about £300 . It was very small. He was not insured which means there is no Big Insurance Company standing by to pay out compensation. So hes got nothing to do with that side of things . I have a claim against the mib but, yes, he has nothing to do with it. It is a very slow process. Do you feel the driver has got away with this . Wrote this ive tried to not connect with him because it is something i have no control over. I have so much i can focus on like getting myself better. I dont think the punishment is Strong Enough because the amount of money that he was fined is a fraction of how much it is to insure your car for was fined is a fraction of how much it is to insure your carfor a was fined is a fraction of how much it is to insure your car for a year. Ican it is to insure your car for a year. I can see why people do not, because people are willing to take that risk. As i mentioned in the introduction, up to £1000 for people between the age of 20 to insure their car for a between the age of 20 to insure their carfor a year. Between the age of 20 to insure their car for a year. Thats a lot of money. But what you experienced is outrageous. Yes, and still ongoing. It will be going on for many years to come. Hes served his 17 month ban and just getting on with life for all i know. If the insurance was lower, do you think that drunk driver would have been insured . Yes, i dont know personally about him but there would bea personally about him but there would be a lot more people insured. The money is definitely stopping people. Come closer. I know it has been a bit last minute. Is it the price . Is it the cost of insurance . bit last minute. Is it the price . Is it the cost of insurance . I reckon. I know a few people who are not insured. It is an extremely pricey game. You know young people who cannot afford it . Or have made the choice . A bit of both. I know people who cannot afford it, some people do it because theyve got no interest. What do you mean . They dont care . Basically. I dont know if you heard what happened to laura, hit by an uninsured driver who was drunk, spinal injuries, head injury. Do you think people who decide not to insure their car think about those potential consequences . insure their car think about those potential consequences . I dont think they do at first. I think they think they do at first. I think they think it is like everyday driving. It will never happen to them. My mum was a victim as well. Her car was written off by an uninsured driver. It is not fair on the people that end up in accidents because they can claim off anybody. Exactly. The person who hit laura was given a 17 month driving ban, some points and a fine. We know that some people are crushing them, is that more of a deterrent . It is a good idea. I think the vehicle should be disposed of. Thank you very much for your company today. We are back tomorrow at 9am. The bbc newsroom is next. Temperatures about 15 to 20 celsius. The southeast will hold onto a bit of heat. Through this evening, backlight will continue to move south and eastwards. A few more showers across scotland and Northern Ireland and that will continue in the wednesday as well. Quite a lot of cloud on wednesday. Some outbreaks of rain, as well. A good 10 celsius below what the temperatures are today. This is bbc news and these are the top stories developing at 11. 00am sirens sound injapan as north korea fires a missile over the country. Floodwaters are continuing to rise in houston in texas, where many thousands of people have already been forced from their homes by Tropical Storm harvey. I have never been through anything like this. It was bad before. Im so worried about the kids. Brexit negotiations are continuing in brussels after the eu told the uk it needed to get serious about the withdrawal talks. Also coming up a video game to detect the signs of dementia