Are receiving. The Health SecretarySteve Barclay says patients are bearing the brunt of the impact of continuous strikes, the doctors here obviously do not agree on the strikes will run until tuesday. Thank you for that update live in central london. More now on our top story in hawaii where 55 people are known to have died on the island of maui. It is probably the Largest National disaster in the history and the death toll is likely to rise further. Around 1000 people are still missing. Lets talk to cbs news correspondent who is a new york speaking to people who have left help hawaii. These people must be traumatised. What are they telling you . Traumatised. What are they telling ou . ,. , , traumatised. What are they telling ou . , traumatised. What are they telling ou . , you . Traumatise is an overarching feelin you . Traumatise is an overarching feeling here you . Traumatise is an overarching feeling here when you . Traumatise is an overarching feeling here when you you . Traumatise is an overarching feeling here when you are you . Traumatise is an overarching feeling here when you are looking | you . Traumatise is an overarching i feeling here when you are looking at some of the people who had to really make some dire moves to escape the flames. One family, a father, his wife and theirfive flames. One family, a father, his wife and their five children, they jumped into the Pacific Ocean to escape the flames, the flames were coming too close to their vehicle, they could not move because there was traffic, they got into the water and he starts to cry when he is in the airport talking about the wave started to sweep his children away. Fortunately, all seven of them made it to the airport and they are going to be on their way back to california. Some really tough moments. A lot of the tourists who have been able to leave are bringing this back to the people who are not going to be able to leave maui, who have their lives there, for them, this might be a weird story that they can tell for the next couple of years but there are people whose lives are changed for ever. And . When people arrive in the us, what support are the given . Horse when people arrive in the us, what support are the given . When people arrive in the us, what support are the given . How are they bein support are the given . How are they being greeted . Support are the given . How are they being greeted . Are support are the given . How are they being greeted . Are you support are the given . How are they being greeted . Are you seeing being greeted . Are you seeing injuries or anything like that . . From what we are seeing if there are people with significant injuries they would have been in her way. We are they would have been in her way. , are seeing people with cuts and bruises trying to escape along the way and by and large they are able to go about their lives as normal. There are some questions when it comes to whether people had to leave luggage behind or belongings that were lost, some of those processes, whether it is with insurance or whoever, but right now, a lot of it is getting people safe back here, stateside back here on the mainland so that resources can be utilised for people who need it on the ground in maui. , for people who need it on the ground in maui. ,. , for people who need it on the ground in maui. ,. ,. In maui. Those researchers, federal aid is being in maui. Those researchers, federal aid is being released, in maui. Those researchers, federal aid is being released, how in maui. Those researchers, federal aid is being released, how quickly l aid is being released, how quickly is it getting to the Island Gay One Ofthe is it getting to the Island Gay One of the bi is it getting to the island gay rrrte of the big things that has been happening is trying to quash the fires, a significant amount of them have been put out in the past two or so days but there are hotspots. Federal aid has allowed for Military Helicopters to go to maui and start dousing the flames left behind with water. Also potential Smouldering Hot Spot so nothing else picks back up. Another one is going to be long term, whether it comes to housing, temporary housing for people whose homes were destroyed, we are not talking about a house. Some of these houses have been burnt to the ground. There is nothing left. Temporary housing for them and also getting the assistance and whatever other insurance insistence they might need to rebuild. Again, we have been hearing from local officials that that is something that could potentially take years. Thank you very much for that update. This is an evolving situation, we are expecting the numbers of date to rise, we will keep across that throughout the day as and when we get more information. Lets go to another of the big stores today. Lets go back to the strikes byJunior Doctors in england the latest in their long running pay dispute. It isa it is a four day walk out. Live now to. Dr tal ellenbogen, a representative of the bma doctors committee. Thank you forjoining us. Can you give us your view on the strikes . Good morning. It is disappointing that we are here for the first time with no end in sight because we have got a Prime Minister who refuses to enter the Negotiating Room let alone negotiate in good faith. I have come back from the picket line, doctors are defiant, my colleagues are ready for the long haul because our feeling is that no strike could ever be as damaging to the nhs as the Rishi Sunak Pushing Tens Of Thousands of us out of the nhs to go to australia, canada, new zealand and other industries as my friends and other industries as my friends and colleagues have already done. One of the tough questions to doctors, it is patients who have had their appointments cancelled, maybe surgery, postponed, what would you say to those people a few i tee] say to those people a few i feel really sorry say to those people a few i feel really sorry for say to those people a few i feel really sorry for patients say to those people a few i feel really sorry for patients who say to those people a few i feel l really sorry for patients who have those operations postponed on any day of the year, not only strike days, and i echo theirfrustrations because it is not good enough that this government is giving them a raw deal, not providing them the Health Care Service that used to get back in 2008 when the waiting list was 2. 5 million compared to 7. 6 million today. I am 2. 5 million compared to 7. 6 million today. Lam having 2. 5 million compared to 7. 6 million today. I am having these conversations regularly, sometimes patients are having their appointments postponed to three times, and that is of the governments own making. Directly anger at the government, make Rishi Sunak Respect the citizens of this country enough to get any room and negotiate with us. Make as a credible author and invert the strikes at any point. That is all we need. We need him to fix this Retention Crisis so we can get back to giving patients high quality care, it pains me have to start every consultation with an apology. The government is saying they are offering Junior Doctors is 6 pay rise and it is fair and effect final offer. Why is that not good enough . Inflation is 11. 3 . Hes offered us another pay cut on top of 1a years real terms pay cut. What rishi sunak is saying with this imposition is that doctors were overpaid during covid 19. Doctors who went in with bin liners and simple masks into the pandemic against an unknown virus, they risk their lives and families lives and they were overpaid because he has cut mp3 time since then. How can doctors ever take that and think thats ok . How can i look at my colleagues and tell them they are worth 30 less than someone who was doing the exact same job or an easierjob back in 2008 . Ijust dont think i can. What i am seeing is that have had a friend leave to australia this week and another one going to new zealand a week after. Might surgical registrar, who has 1a years of experience, hugely talented surgeon, is going to australia with a couple of months without plans to return. I am a couple of months without plans to return. Lam not a couple of months without plans to return. I am not going to be able to give patients the care i want to because there are not enough of us around. ,. , because there are not enough of us around. I. ,. , around. Can you make ends meet on our around. Can you make ends meet on your current around. Can you make ends meet on your current salary . Around. Can you make ends meet on your current salary . We around. Can you make ends meet on your current salary . We are around. Can you make ends meet on your current salary . We are in around. Can you make ends meet on your current salary . We are in it your current salary . We are in it because of living crisis, prices are going up wherever you look. Personally, i can make ends meet, but this is not about me. We need doctors from all aspects of society to be able to be in that profession because we need a workforce that reflects the population they care for. We cannot have medicine as a profession that is only sustainable for you to pay down 100 grant of date if you have familial help. It is not acceptable to expect doctors to start on £14 an hour. We are asking for £20 an hour, even if that is given, that would mean that a first year doctor would still get paid less than a first year physician assistant. That seems fair and reasonable to me and if rishi sunak thinks otherwise, i challenged him to speak to an actual doctor. Thank you so much for coming and sharing your thoughts and insights with us. Their Chief Executive of the nhs has been talking how hospitals have been coping with the strike action. 50 coping with the strike action. So far, coping with the strike action. Sr far, we coping with the strike action. 5r far, we are into our nine month of strike action, around 900,000 appointments have had to be stood down as a consequence of that and that has an impact on patients in terms of longer waits and so on. Trust do their best to do as much as they can during the strike period but inevitably a lot of activity stood down. But inevitably a lot of activity stood down. �. , stood down. Are Health Correspondent rive us stood down. Are Health Correspondent give us more stood down. Are Health Correspondent give us more details stood down. Are Health Correspondent give us more details on stood down. Are Health Correspondent give us more details on junior give us more details onJunior Doctors pay. Pay is at the centre of the dispute but it is fiendishly complicated. Lets look at two real life examples, lets start with this doctor. He isjust finishing his first year as a Junior Doctor. He graduated last summer. He works full time, approximately 48 hours a week, in the Infectious Disease unit of a big london hospital. We asked him to talk us through his payslip. You will see he has a basic rate of pay of just over £14 you will see he has a basic rate of pay ofjust over £14 and i were but are additional payments, for working in london, for night shifts and weekends. He gets a couple of extra £100 for that. Bringing his total take home pay engine to just over £2000 after tax, and his student loan payment. It will bring his annual salary to approximately £37,000, including those extra payments. He says he is looking to work abroad for a while, possibly in australia. I work abroad for a while, possibly in australia. ,. , work abroad for a while, possibly in australia. ,. ,. , australia. I always wanted to do that, australia. I always wanted to do that. Even australia. I always wanted to do that, even when australia. I always wanted to do that, even when i australia. I always wanted to do that, even when i was australia. I always wanted to do that, even when i was in australia. I always wanted to do | that, even when i was in Medical School, what has changes i am not confident that the pay here is going to improve as much as i would like it too, and if that is not the case, then i would really strongly consider staying in australia. He is finishin consider staying in australia. He is finishing his consider staying in australia. He is finishing his first consider staying in australia. He is finishing his first year consider staying in australia. He is finishing his first year as consider staying in australia. He is finishing his first year as a consider staying in australia. He is finishing his first year as a Junior Doctor but as they get more skill and experience, they cant move up the pay grades you can see here. And this is what this dispute is all about. The government says under its current final offer, it will increase these by approximately 8. 8 on average full this year. The bma, the Doctors Union says it is not enough. They have been acting for 35 increase to make up for what it says our years of below inflation rises. Lets talk about it doctor thatis rises. Lets talk about it doctor that is further along in her career. This doctor graduated from Medical School in 2011, more than ten years ago. She currently works part time, three days a week because she has a young family. She has taken three years out of her nhs training over the last decade to have children and go on maternity leave. She is what is called a paediatric registrar. In hospital, she can be in charge of the whole children. Ward, or in charge of paediatric a and e. Lets look at her wage slip. She earns a basic wage of £28 an hour. That is double what robert earns who we were talking about earlier on. Extra payments for night shift and weekends. That would bring her take home pay injuly to just over £2000, bearing in mind she is part time, she works three days a week. If she was working full time give you a comparison, she would earn approximately £69,000 in total each year. She says this dispute is not about wages, but widerjob and working conditions. I about wages, but wider ob and working conditions. About wages, but wider ob and working conditions. I have seen a decfine working conditions. I have seen a decline in morale, working conditions. I have seen a decline in morale, in working conditions. I have seen a decline in morale, in the working conditions. I have seen a decline in morale, in the working j decline in morale, in the working environment, in the safety of our working environment, in our working conditions, in my own living practice. This is not something i can see oh, maybe it never used to be. I have seen it deteriorate, the team the team morale. The exam le the team the team morale. The example of the team the team morale. The example of two the team the team morale. The example of twojunior the team the team morale. The example of two Junior Doctors. The team the team morale. The example of twoJunior Doctors. The example of two Junior Doctors. The government says the latest pay offer is final and bounces they need to keep inflation in check while recognising the important work that Junior Doctors do. If you want to find out any more on these strikes head to our health pages on the bbc news website, you will get the latest news on the strikes and the answers to many questions you may have when it comes to Junior Doctors. You are watching bbc news. Welcome to viewers who are joining us on bbc two. Students in scotland have been allowed to sit their exams using British Sign Language since two thousand and four, but until recently, many crucial scientific terms were missing. Almost twenty years since the exams were first introduced, more than 200 new signs have been added to the Bsl Dictionary to help deaf students learn about environmental science. Our science editor Victoria Gill has more. An Afternoon Learning about the science of climate change. True orfalse . Plants and ocean. Remove Carbon Dioxide from the atmosphere. This is a lesson taught in British Sign Language, a language that until recently was missing crucial scientific vocabulary. At this Secondary School in glasgow, deaf children are learning newly created signs that have just been added to the Bsl Dictionary. So this is a sign for Greenhouse Gases and thats a new one. I didnt know that one before. So in physics, for example, some of the concepts are really abstract. And Sign Language can help children understand because its a visual language. So this is a sign for photosynthesis. So here we have a leaf. And this is the sun. Its light energy and its absorbed into the leaf, which then creates something. It creates food. Back in 2004, but students in scotland were officially allowed to do their exams in British Sign Language. But the scientific terms for Science Exams just didnt exist. So theyre being created still here at edinburgh university. Deaf scientists, educators and Sign Language experts Work Together to create the new signs. Today, the focus is human biology. Youve got the brain, the spinal cord, and then the branching out from the spinal cord. Spinal, spinal cord and Central Nervous system would also include the brain. Yes. So then you would add to t