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Biden cancer diagnosis adds to questions about health in office

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Reuters U.S. President Joe Biden answers questions from the media at a briefing on the federal response to the wildfires across Los Angeles, in the Oval Office at the White House in Washington, U.S., January 10, 2025. Reuters

Joe Biden’s announcement that he has been diagnosed with prostate cancer has revived questions about what health issues the former US president was dealing with while he was in the White House.

In a statement on Sunday, Biden’s office said the 82 year old had received the diagnosis on Friday after seeing a doctor for urinary symptoms.

Some doctors have expressed surprise that the aggressive form of cancer, which has spread to his bones, had not been detected earlier.

Others pointed out that cancers can grow fast without the patient displaying symptoms – and that men over 70 are not routinely screened.

President Donald Trump told reporters on Monday his predecessor should have been more transparent with the public, seeming to suggest – without offering evidence – that the cancer diagnosis had been covered up.

“I think it is very sad actually. I am surprised that the public wasn’t notified a long time ago,” Trump said at an event at the White House.

“It could take years to get to this level of danger. So, look, it’s a very, very sad situation. I feel very badly about it, and I think people should try and find out what happened.”

Biden has yet to respond to Trump’s comments, which came amid reports that the Democrat’s aides sought to conceal other deteriorating health conditions from the public ahead of the 2024 election.

Republicans claim that Biden, who ran for re-election as the oldest president in history at 81, was mentally and physically unfit for office. He dropped out of the race last summer after a disastrous debate performance against Trump.

According to Original Sin, a new book by journalists Jake Tapper and Alex Thompson, Biden was unable to recognise Hollywood actor and Democratic donor George Clooney or to recall the names of key aides in his final year in office.

The authors write: “Biden’s physical deterioration – most apparent in his halting walk – had become so severe that there were internal discussions about putting the president in a wheelchair, but they couldn’t do so until after the election.”

The publicity generated by the book has forced senior Democrats to field questions on why they did not do more to respond to Americans’ concerns about Biden’s health as he campaigned for re-election.

“It was a mistake for Democrats to not listen to the voters earlier,” Senator Chris Murphy said on Sunday.

Watch: BBC speaks to former White House physician about Biden’s cancer treatment options

After the news of Biden’s diagnosis, Vice-President JD Vance wished him well but then asked whether Biden’s doctors or staff members sought to keep the public from knowing about the true state of his health.

“This is not child’s play, and we can pray for good health, but also recognise that if you’re not in good enough health to do the job, you shouldn’t be doing the job,” he added.

Dr Ezekiel Emanuel, an oncologist who worked as a Covid adviser to the Biden White House, was among those claiming that Biden probably had been ill with cancer for some time, without necessarily knowing it.

“He did not develop in the last 100, 200 days. He had it while he was president,” he told MSNBC’s Morning Joe show. “He probably had it at the start of his presidency in 2021. Yes, I don’t think there’s any disagreement about that.”

US medical guidelines do not recommend routine blood screenings for men over 70 because prostate cancers can be very slow-growing, and the harm of testing and treatment may outweigh the risk from the cancer.

Biden had previously been diagnosed with benign enlargement of the prostate. In 2019, before he was elected, his campaign released the report from his medical screening, saying he had been treated with medication and surgery, “and has never had prostate cancer”.

That’s led to questions about whether Biden was tested at any point during his four-year presidency – and why the diagnosis came so late.

“I would assume the former president gets a very thorough physical every year,” Dr Chris George of the Northwestern Health Network told Reuters. “It’s sort of hard for me to believe that he’s had a (blood test) within the past year that was normal.”

However, Dr Robert Figlin, interim director of Cedars-Sinai Cancer, told the BBC that the aggressive way Biden’s cancer had presented was not that unusual. And he warned critics against “assuming that somehow something was missed along the way”.

Prostate cancer is the second most common cancer for men, according to the Cleveland Clinic.

According to the US Centers for Disease Control and Prevention (CDC), out of every 100 American men, 13 will be diagnosed with prostate cancer during their lifetime, and two or three men will die from it.

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Zambian ex-president will be buried in South Africa, family says

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The family of Zambia’s former President Edgar Lungu says he will be buried in South Africa in a private ceremony following a row with the government over the funeral arrangements.

Late on Thursday, President Hakainde Hichilema cut short a period of national mourning after Lungu’s family refused to allow his body to be repatriated from South Africa as planned. His funeral had been set for Sunday in Zambia’s capital, Lusaka.

The family now says it will announce later when Lungu will be buried in Johannesburg in “dignity and peace”.

It will be the first time a former head of state of another country is buried in South Africa.

In his will, Lungu said that Hichilema, his long-time rival, should not attend his funeral.

The government and his family later agreed he would have a state funeral before relations broke down over the precise arrangements.

“We wish to announce that the funeral and burial of our beloved Dr Edgar Chagwa Lungu will take place here in South Africa, in accordance with the family’s wishes for a private ceremony,” family spokesperson Makebi Zulu said in a statement.

Mr Zulu thanked the South African government for “non-interference” and honouring the family’s decision and desire during “this deeply emotional period”.

In his address on Thursday, President Hichilema said that Lungu, as a former president, “belongs to the nation of Zambia” and his body should therefore “be buried in Zambia with full honours, and not in any other nation”.

However, because of the row, he announced an immediate end to the mourning period, saying the country needed to “resume normal life”.

“The government has done everything possible to engage with the family of our departed sixth president,” he said.

The national mourning period initially ran from 8 to 14 June but was later extended until 23 June, with flags flying at half-mast and radio stations playing solemn music.

President Hichilema and senior officials had been prepared to receive Lungu’s coffin with full military honours on Wednesday.

However, Lungu’s family blocked the repatriation of his remains at the last minute, saying the government had reneged on its agreement over the funeral plans.

The opposition Patriotic Front (PF), the party Lungu led until his death, has stood with the family over the funeral plans.

“The government has turned a solemn occasion into a political game,” said PF acting president Given Lubinda. “This is not how we treat a former head of state.”

Civil society groups have called for an urgent resolution of the matter, with a section of religious leaders saying the stand-off was “hurting the dignity of our country”.

“We appeal for humility, dialogue, and a resolution that honours the memory of the former president while keeping the nation united,” said Emmanuel Chikoya, head of the Council of Churches in Zambia.

Lungu, who led Zambia from 2015 to 2021, died earlier this month in South Africa where he was receiving treatment for an undisclosed illness.

After six years as head of state, Lungu lost the 2021 election to Hichilema by a large margin. He stepped back from politics but later returned to the fray.

He had ambitions to vie for the presidency again but at the end of last year the Constitutional Court barred him from running, ruling that he had already served the maximum two terms allowed by law.

Despite his disqualification from the presidential election, he remained hugely influential in Zambian politics and did not hold back in his criticism of his successor.

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Israeli hospital hit by Iranian missile strike

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BBC on the scene at Israeli hospital struck by Iranian missile

A hospital in the Israeli town of Beersheba has been hit as Iran fired a barrage of missiles at the country, with the conflict between the two nations continuing into a seventh day.

Iran said it had targeted a military site close to the hospital, not the facility itself. With strikes being reported in several locations across Israel, the country’s health ministry said 271 people had been injured.

After visiting the Soroka Medical Centre on Thursday, Israel’s Defence Minister Israel Katz said Iran’s supreme leader “can no longer be allowed to exist”.

Meanwhile, Israel’s military said it had targeted Iran’s nuclear sites including the “inactive” Arak heavy water reactor and Natanz facility.

The conflict began on 13 June, when Israel launched attacks on Iranian nuclear sites and killed several top generals and nuclear scientists.

Israel’s deputy foreign affairs minister said Iran’s hit on the Soroka hospital was “deliberate” and “criminal”.

In a post on X, Sharren Haskel said the site that was the main medical centre for Israel’s entire Negev region.

Israeli Prime Minister Benjamin Netanyahu said Israel would “exact the full price from the tyrants in Tehran”.

While Israel’s Defence Minister Israel Katz told reporters: “[Iran’s Supreme Leader Ayatollah Ali] Khamenei openly declares that he wants Israel destroyed – he personally gives the order to fire on hospitals.”

BBC correspondents in the area described the scale of the damage as extensive, with debris and plumes of smoke floating through the air long after the blast.

Several wards were completely destroyed as fire spread through one of the buildings, causing windows to smash and ceilings to collapse, hospital authorities said.

Around 200 patients will be transferred to other hospitals centres, Prof Shlomi Codish, chief executive of the Soroka said.

“At the moment we don’t know if buildings or other wards might collapse,” he added.

On Thursday morning, an Iranian ballistic missile struck the business district of Ramat Gan, east of Tel Aviv – causing a large sheet of glass to fall several floors from a skyscraper and part of an electrical pylon to crash to the ground.

About 20 people are believed to have been injured by the blast in the area, authorities have said.

The Israeli military said it told people living in the cities of Iranian cities Arak and Khondab, which are near the reactor, to leave the area “as soon as possible,” in a post on X, prior to the attack.

The nuclear facilities that were attacked include a partially-built heavy-water research reactor.

Heavy-water reactors produce plutonium, which – like enriched uranium – can be used to make the core of an atom bomb.

Iranian media reported two projectiles hitting an area near the facility. There were no reports of radiation threats.

In a separate announcement, Israel’s military said it also struck a site in the area of Natanz, which it said contains “unique components and equipment used to develop nuclear weapons”.

Israel has alleged Iran has recently “taken steps to weaponise” its enriched uranium stockpile, which can be used for power plants or nuclear bombs. Iran has always claimed that its nuclear programme is entirely peaceful.

Iran’s armed forces said their response to the Israeli attack will have “no limits.”

It has lodged a complaint with the UN nuclear watchdog, accusing Israel of “continuing its aggression and actions contrary to international laws that prohibit attacks on nuclear facilities,” Iranian state media reported.

Reuters A satellite image shows the Arak nuclear facility in Iran. Reuters

Arak’s nuclear facility had been evacuated before the attack according to Iranian media

The latest attacks come at a critical time, as President Trump considers the possibility of direct American involvement in Israel’s campaign.

Iran’s deputy foreign minister Kazem Gharibabadi warned the US that Tehran will have “no other option but to use its tools to teach aggressors a lesson” if it intervenes in support of Israel.

The Iranian Supreme Leader Ali Khamenei rejected Trump’s calls to surrender, and Iran has threatened to strike American military interests in the Middle East in response.

Trump, so far, has given no clear indication of his next move. According to the BBC’s partner CBS, he has approved plans to attack Iran but has held off on a final decision about striking the country.

On Wednesday, Trump said, “I may do it, I may not do it”, when asked a question about US involvement in Iran.

Additional reporting by Tom Bennett in Jerusalem

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Kenyan ‘miracle babies’ pastor dies in road crash

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Controversial Kenyan televangelist Gilbert Deya, who claimed he created miraculous pregnancies, has died in a road crash.

Police told local media that Deya died on the spot on Tuesday evening after his vehicle was involved in an accident with a university bus and another vehicle near the town of Kisumu in western Kenya.

At least 30 other people were reportedly injured, including a person identified as his wife and a passenger in his vehicle, and 15 students in the bus.

Deya, who ran a church in London, rose to infamy in the early 2000s, following his claim that he could help infertile couples conceive “miracle” babies through prayer.

Investigations later linked his church to an alleged child-trafficking ring, leading to his arrest and extradition from the UK eight years ago after a decade-long legal battle.

He was acquitted of the charges in 2023 due to insufficient evidence.

On Wednesday, Siaya County Governor James Orengo said he had learnt with “deep sorrow and regret of the passing on of Bishop Gilbert Deya”.

He confirmed that the “horrific” road accident had involved a vehicle belonging to the county.

Photos shared online showed the mangled wreckage of one of the vehicles, which was completely shattered in the accident.

A former stonemason-turned evangelist, Deya moved from Kenya to London in the mid-1990s, where he founded Gilbert Deya Ministries, a registered charity with branches across the UK and Africa.

He was known for his charismatic preaching style and claimed to have been consecrated as an archbishop by a US evangelist in 1992.

His ministries later faced multiple investigations by the UK authorities for alleged mismanagement and legal violations, including selling olive oil which were falsely claiming to have healing properties.

He was once described by UK Foreign Secretary David Lammy, then an MP, as a “modern-day snake-oil salesman who has conned and betrayed his vulnerable congregation”.

At his church, desperate women, some past their menopause and others who were unable to conceive, would be convinced that they would become pregnant through prayer.

But the babies were always “delivered” in backstreet clinics in Kenya’s capital, Nairobi. The prosecution said the babies were stolen from poor Kenyan families.

In 2011, his then wife Mary Deya was jailed after being found guilty of stealing a baby from the main referral hospital in Nairobi and falsely stating she had given birth to the baby.

Deya would later tell a court that they had divorced after she had been charged, saying she had “tarnished” his name.

Recent videos from the YouTube page of Gilbert Deya Ministries appear to show him announcing that he has a new wife, Diana Deya.

When the televangelist was asked in a BBC investigation in 2014 how the alleged “miracle” children had different DNA to that of their alleged parents, he said it was “beyond human imagination”.

“It is not something I can say. I can explain because they are of God and things of God cannot be explained by a human being,” he said.

After his acquittal in 2023, Deya continued with his religious outreach programmes until his death, reportedly at 72.

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