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World Health Organization expects more hantavirus cases but doesn’t ‘anticipate large epidemic’ - Europe live

in Madrid The ship is due to anchor off the port of Granadilla in Tenerife on Sunday. EU nations are expected to begin evacuating their citizens the following day. As the Spanish health minister explained, “passengers will be evaluated on board the ship and will only disembark for transfer or repatriation with protective equipment, a specific health worker, and without contact with the population.”

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Middle East crisis live: Iran reviewing peace proposal as Trump says a deal ‘very possible’

Around 1,500 ships and their crews are trapped in the Gulf due to the Iranian blockade in the strait of Hormuz, the secretary general of the UN’s International Maritime Organization said in Panama on Thursday. The war in the Middle East provoked reprisals from Tehran across the region and a shipping blockade in Hormuz, a crucial global trade route. “Right now, we have approximately 20,000 crewmen and around 1,500 ships trapped,” Arsenio Dominquez told the Maritime Convention of the Americas.

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Tensions high in West Bengal after BJP aide shot dead and hundreds arrested

Tensions have been high in the Indian state of West Bengal after a top political aide from Narendra Modi’s party was shot dead in the street and hundreds were arrested as violence broke out following elections this week. The prime minister’s Bharatiya Janata party (BJP) claimed victory in the West Bengal elections on Monday, defeating Trinamool Congress (TMC), which had ruled over the state legislature for 15 years. Turmoil rocked the state after the results were announced. Figures from TMC, including its leader, Mamata Banerjee, said there had been widespread irregularities in the vote and accused the BJP of “looting” the election. Banerjee said she would refuse to resign, stating that she had “not been defeated”. Late on Wednesday evening, Chandranath Rath, an assistant to the head of the BJP in West Bengal, Suvendu Adhikari, was shot dead in the streets of the state capital, Kolkata, by gunmen on a motorcycle. He was pronounced dead at the hospital. Speaking to reporters, Adhikari, who is the frontrunner to become the state’s next chief minister, said the BJP was “shocked, pained and hurt” by the incident and alleged that the killing had taken place “because I defeated Mamata”. He said police believed the killing was a “pre-planned and cold-blooded murder that was carried out after a recce for two to three days”. TMC denied any involvement in the killing and called for an independent investigation. “Violence and political killings have no place in a democracy and the guilty must be held accountable at the earliest,” it said. Rath was one of three people killed in violence that erupted across West Bengal from Monday. The state’s police chief, Siddh Nath Gupta, said that more than 200 criminal cases has been registered and 433 people had been arrested for involvement in post-poll violence. TMC workers accused the BJP of setting fire to their party offices and bulldozing one in Kolkata. The BJP has denied the allegations. Post-election violence is not uncommon in West Bengal, and goes back decades to when the state was under communist rule. However, the recent election has proven to be particularly controversial, after the government carried out a special revision of the electoral roll to purge “illegal” voters. That process resulted in millions of people – the majority of them Muslims or from minority groups – losing their right to vote just before the election. Over the course of voting in April, India’s election commission ordered an unprecedented number of police and paramilitary to be deployed to the state, in the name of ensuring security. That deployment will remain in place for the next 60 days. The BJP’s win in West Bengal was seen as a significant political coup for the Hindu nationalist party, securing its control over the east of the country and ensuring it now governed more than 70% of the country at state level. Banerjee’s refusal to step aside threatens to cause an unprecedented constitutional crisis. On Thursday night, the West Bengal governor unilaterally dissolved her government and cabinet. TMC confirmed they would challenge the election results in the supreme court. Despite TMC’s objections, Adhikari said the new West Bengal state government, including the next chief minister, would be sworn in by Saturday.

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Global race under way to trace passengers who left hantavirus ship before outbreak confirmed

Authorities around the world are racing to trace dozens of passengers who disembarked from the cruise ship at the centre of a deadly hantavirus outbreak before isolation measures were implemented. It emerged for the first time on Thursday that at least 29 passengers of 12 nationalities left the MV Hondius on 24 April after the first fatality, prompting a scramble to identify and track their movements since then. However, the World Health Organization ruled out any Covid-scale crisis. “This is not the start of an epidemic. This is not the start of a pandemic. This is not Covid,” Dr Maria Van Kerkhove, the agency’s director for epidemic and pandemic preparedness and prevention, told reporters. The WHO said that five of the eight suspected cases linked to the ship had been confirmed and that other cases may be identified. “Given the incubation period of the Andes virus, which can be up to six weeks, it’s possible that more cases may be reported,” the organisation’s director-general, Tedros Adhanom Ghebreyesus, told a news conference. “While this is a serious incident, WHO assesses the public health risk low.” The Dutch health ministry said a woman who had not been on the ship was being tested for hantavirus and being kept in an isolated ward in an Amsterdam hospital after showing symptoms. A positive test could make her the first known person not on the MV Hondius to become infected in the outbreak. Oceanwide Expeditions, the Dutch cruise company that operates the vessel, said 29 people – and the body of the first fatality – had disembarked at the British territory of Saint Helena on 24 April. It added that the first confirmed case of hantavirus was not reported until 4 May. The disembarked passengers – including six US and seven British citizens – had been contacted, the company said. Most, if not all, are believed to have returned home. “The Australian went back to Australia, the one from Taiwan to Taiwan, the Americans to all corners of north America. The Englishman to England, the Dutch to their homes,” a Spanish passenger, who remains on board the Hondius, told El País. A man who made his way to Switzerland was being treated at a Zurich hospital after testing positive for the virus. Swiss authorities said there was no risk to the public. In the US, the Centers for Disease Control and Prevention (CDC) was monitoring passengers who had travelled to Georgia, California and Arizona, the New York Times reported. None had shown sign of illness. Two passengers who are self-isolating at home after returning to Britain were showing no symptoms, according to the UK Health Security Agency (UKHSA). Prof Robin May, the agency’s chief scientific officer, suggested the pair and other passengers who returned would be asked to self-isolate for 45 days. “For the broader public, not directly involved in this cruise ship, the risk here is really negligible,” said May. Two Singapore residents who had been on the Hondius had been isolated and are being tested, Singapore officials said. A Danish citizen who had been on the cruise was in self-quarantine and showing no symptoms, the Danish Patient Safety Authority said. The outbreak has killed three people and caused global alarm. Hantaviruses are a group of viruses primarily found in rodents but which can infect humans and cause flu-like symptoms, pulmonary syndrome and respiratory failure. The Andes hantavirus can spread among humans through very close contact, but is less contagious than Covid. There are no vaccines. Three people with symptoms who were medically evacuated – a 41-year-old doctor, a 65-year-old German passenger and Martin Anstee, 56, a British expedition guide – are being treated in the Netherlands. The effort to trace disembarked passengers came as the Hondius, with 149 people left onboard, departed waters around Cape Verde, where it was denied permission to dock, and headed for Tenerife, in Spain’s Canary islands, where it was expected at around midday on Sunday. The president of the archipelago, Fernando Clavijo, voiced concerns over the central government’s decision to allow the ship into the Canaries, and requested a meeting with the Spanish prime minister, Pedro Sánchez. Spain’s health minister, Mónica García, met Clavijo on Thursday and said there was no threat to public health. The Hondius would remain at anchor and not dock in port, she said. “Its stay in Canary island waters will be the minimum necessary from a health and logistical point of view, as planned from the beginning and as established by the protocols. Passengers will be evaluated onboard the ship and will only disembark for transfer or repatriation with protective equipment, with a specific health worker, and without coming into contact with the population.” EU nations are expected to begin evacuating their citizens from the Canaries from Monday 11 May. The 14 Spanish nationals onboard the ship – including one crew member – are to be transferred from Tenerife to the Gómez Ulla military hospital in south-west Madrid. Spain’s opposition conservative People’s party (PP) accused the socialist-led government of mixed messaging over quarantine procedures after the defence ministry said it would be voluntary, while García said there were legal tools to make it mandatory. The Polar vessel sailed on 1 April from Ushuaia, a city in southern Argentina known as the “end of the world”, and made stops in Antarctica and several remote Atlantic islands. A 70-year-old Dutch man showed symptoms on 6 April and died five days later but it was attributed to natural causes and raised no alarm. His body was taken off the ship on 24 April when it docked at Saint Helena, where other passengers disembarked. His 69-year-old Dutch wife flew to South Africa and in Johannesburg briefly transferred to a KLM flight before being taken off for treatment. She died. A KLM stewardess who was in contact with her is in an isolation ward at an Amsterdam hospital after showing possible symptoms of infection, the Dutch broadcaster RTL reported. Contact tracing was under way for people who had shared the dead woman’s flight from Saint Helena, the World Health Organization said. The body of a German passenger who developed a fever on 28 April, and died on 2 May, remains on the ship. One theory has linked the outbreak to a birdwatching expedition in Argentina by the Dutch couple before they boarded the Hondius. Argentina has Latin America’s highest incidence of hantavirus and has reported 101 infections since June 2025, roughly double to the year prior. Argentina’s health ministry said it would carry out rodent trapping and analysis in Ushuaia, the cruise’s point of origin.

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Spain awards UN legal expert Francesca Albanese one of its highest civilian honours

The Spanish government awarded the UN legal expert Francesca Albanese one of its highest civilian honours in recognition of what it termed her “extensive work in documenting and denouncing violations of international law in Gaza”. Albanese, an Italian human rights lawyer who serves as the UN special rapporteur on the situation of human rights in the Palestinian territories occupied since 1967, has been vocal in her criticisms of Israel’s military operations in Gaza, which she has described as genocide. She has also called out the international community over its failure to prevent and punish acts of torture, genocide and other serious human rights violations. Albanese has faced the prospect of arrest in Germany over her use of language and has been hit with sanctions by the US government for urging the international criminal court (ICC) to investigate American and Israeli companies and individuals over their alleged complicity in gross human rights violations. In a ceremony in Madrid on Thursday, Pedro Sánchez, Spain’s prime minister, awarded Albanese the Order of Civil Merit. Sánchez is one of the most vociferous European critics of Israel’s conduct in Gaza. “Public responsibility also brings with it a moral obligation not to look the other way,” he said. “It is an honour to bestow the Order of Civil Merit on a voice that upholds the conscience of the world.” Sánchez has also written to the EU to ask it to block the US sanctions against Albanese, arguing they “represent a very worrying precedent that compromises the independent workings of institutions that are essential to international justice”. A day earlier, Albanese had visited the Reina Sofía museum in Madrid to see Picasso’s Guernica. Standing in front of the Spanish artist’s fierce condemnation of the Nazi bombing of the Basque town in 1937, she said the destruction it reflected was “reminiscent of what we have seen” in Gaza. She also said the ceasefire in the Gaza Strip was meaningless, adding: “Those in power are pushing for the world to take its eye off Gaza and for it to be forgotten about. And that’s what most of the world has done.” The lawyer, who is promoting her book, When the World Sleeps: Stories, Words and Wounds of Palestine, renewed her criticism of Israel and the lack of international action to protect Palestinians at another event in the Spanish capital on Wednesday evening. In an echo of the controversial slogan “From the river to the sea”, Albanese said: “There is a genocide against the entire Palestinian people from the river to the sea: the aim is destruction and the result is also destruction.” She praised the Spanish government for its stance on Gaza and its attempts to help fight the US sanctions. The rapporteur also warned that Israel’s actions had set a dangerous precedent when it came to eroding international law. “The moment we’re in is an apocalypse,” she said in remarks reported by elDiario.es. “A lot of people have woken up but it’s not enough. In March 2024, I said that if we didn’t stop Israel, there would be a change in the rules of war. And then six months later, that was happening in Lebanon and it’s now happening in Iran, and they call it the Gaza doctrine.”

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The Rt Rev Lord Harries of Pentregarth obituary

Richard Harries, Lord Harries of Pentregarth, who has died aged 89, was best known to millions of listeners to BBC Radio 4’s Today programme as one of the most esteemed contributors to its religious Thought for the Day slot over 54 years. His brief three-minute talks to early-morning listeners – the last of them broadcast at the end of March, a few days before he fell ill on Easter Sunday – were invariably cogent, compulsive and challenging, gently spoken and often laced with literary allusions. In that, he certainly reached a wider audience than even his many books of theology and culture, despite his career as a cleric, university dean and bishop of Oxford for 19 years – though he was admired within and beyond the Church of England for that too. He was one of the most assured and thoughtful spokesmen for the liberal, progressive and sometimes embattled wing of the church in Britain. Rowan Williams, the former archbishop of Canterbury, once described him as “that rarity, a Christian public intellectual”. He was a lifelong reader of the Guardian, as it happens, as well as a regular contributor to it and other newspapers. His causes, in favour of women’s ordination, opposition to homophobia in the church, for ethical investment, the promotion of interfaith relations, particularly with the Jewish community, and urgent exposition of just war theory, about which he had studied for a doctorate, were not knee-jerk or necessarily predictable, but deeply thought through – he was, for instance, in favour of Britain’s nuclear deterrent. Perhaps that was unsurprising, because Harries’ original career had been in the army. He was the son of Brigadier William Harries and his wife, Greta (nee Bathurst-Brown), born in Eltham, south-east London, while his father was posted at Woolwich, and grew up peripatetically following his father’s career, including to the US during the second world war. He was sent to Wellington college, in Berkshire, traditionally a school for army officers’ sons, and then to Sandhurst military academy, after which he was commissioned in the Royal Corps of Signals. The family was not particularly religious – Harries used to claim the only connection had been a relative who had run off with a clergyman – but his path to ordination was typically considered. It had been expected that he would study engineering at Cambridge, but his conversations with a fellow army recruit turned his mind towards religious belief. As he told the Times in 1989: “I used to go to church very occasionally, then suddenly I got the thought in my mind that if Christianity is true, it ought to be the centre of my life; if it is untrue, I ought to drop it altogether. “I am naturally drawn to orthodoxy. I am not really interested in a particularly watered-down version of Christianity. That would strike me as rather bloodless. The only really interesting thing about religion is that it might be true … if it is not, it must be a sick phenomenon.” He believed there was a legitimate diversity of belief and described himself as “a liberal catholic, slightly on the conservative side”. Accordingly, he wrote to Cambridge colleges asking to change course to theology, but only one, Selwyn, then offered him a place. On graduation he trained for ordination at Cuddesdon College, near Oxford, where Robert Runcie, the future archbishop of Canterbury, was principal. He served as curate at Hampstead parish church, in north London, becoming also chaplain at Westfield College (now part of Queen Mary University of London) and then lecturer at Wells Theological College in Somerset, and, after a merger, as warden of the new Salisbury and Wells Theological College. Back in London, from 1972 he was vicar for nine years of All Saints, Fulham, and from 1981 dean of King’s College London. His appointment in 1987 to the Oxford diocese, undoubtedly encouraged by Runcie, was a popular one: already a broadcaster and author of books on prayer, Christianity and War in a Nuclear Age (1986), and articles on the ethics of conflict, he also had parochial and academic experience that made him a good fit for a large multicultural diocese with 500 clergy and three suffragan area bishoprics, a cathedral situated within one of the Oxford colleges, a car factory complex and a large rural hinterland. He proved to be not only an intellectual able to hold his own within the university, but also articulate, accessible and approachable – and a good manager and delegator. Although Harries occasionally courted controversy and lost – as when he and others took the church commissioners, responsible for administering the CofE’s finances, to the high court to get them to invest ethically, by disinvesting in apartheid South Africa, instead of maximising returns – he was also prepared to speak out when other bishops kept their heads down. His name was widely spoken of as a future archbishop, but it was never likely to happen while Margaret Thatcher was prime minister: she chose the evangelical George Carey when the time came instead. Harries argued for the ordination of women and had little patience when evangelicals claimed that homosexuality was sinful, saying instead that being gay was as natural as having ginger hair. That brought about the greatest controversy of his episcopacy, when he promoted the appointment of Jeffrey John, the gay albeit celibate dean of Southwark, to become suffragan bishop of Reading in 2003. Harries had proceeded carefully, winning the support of Rowan Williams, the newly appointed liberal archbishop of Canterbury, and taking soundings from the diocese about whether John, a noted theologian and preacher, would be acceptable because of his sexuality. The announcement of the appointment (and its formal approval by Queen Elizabeth II) had unfortunate timing. Conservative evangelicals, with the support of some bishops, were looking for an issue over which to unite their flock and had lighted upon homosexuality, especially among the clergy, as a means to assert their authority within the church. It was a political decision even more than a theological one and John’s opponents called in support from conservative American Episcopalians and African archbishops, threatening worldwide schism in order to oppose the appointment to a minor bishopric in the south of England. Williams backed down, John was forced to stand aside and Harries was left feeling, if not betrayed himself, certainly strongly disappointed. He said afterwards: “I believe Jeffrey John conformed to the church’s criteria. He is a very gifted person and certainly has the qualities to be a bishop.” John, whose tenure at Southwark had not been contentious, went on to be dean of St Alban’s without incurring further evangelical anathemas. Harries retired as bishop in 2006 and, unusually, was immediately given a life peerage, choosing his title from the small Welsh village of Pentregarth, part of the seaside town of New Quay (Cei Newydd), Ceredigion, where his relatives had lived and the family holidayed. Although he spent little of his life there, Harries’s family background was Welsh and he supported the country’s rugby teams. As a crossbencher in the Lords, he made frequent interventions on ethical issues. He opposed the Iraq war and served on church bodies including its board for social responsibility, the Council of Christian Action, and commissions and committees for reform on citizenship and civic engagement, on charities and interfaith relations. Articles and books continued to pour out, at least 35, including works on faith and art, literature and poetry and, in 2021, a memoir entitled The Shaping of a Soul. Harries married Josephine Bottomley, a paediatrician, in 1963 and latterly cared for her for more than 10 years when she developed vascular dementia. She survives him, as do their two children, Mark and Clare, and four grandchildren, and his sister, Linda, and brother, Charles. • Richard Douglas Harries, Lord Harries of Pentregarth, priest, born 2 June 1936; died 29 April 2026

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The Amish who refused to use modern toilets – and the people who came after them

They went to the bathroom in buckets. When the Delagrange family moved to Lenawee county, Michigan, in 2015, they refused to use modern toilets. For religious reasons, they used an outhouse. Every couple of days, once the container became about half full, someone in the family would remove the 5-gallon pail from their handbuilt outdoor privy and combine the waste with animal manure. The mixture would then get treated with lime and spread on to pastures, where horses and cattle grazed. This was all very normal for the Amish family, who are farmers. Henry Delagrange, the 74-year-old patriarch and bishop of the community, had lived this way for decades in neighboring Hillsdale county. When he and his sons moved to Lenawee in search of more land, they brought those practices with them – along with a commitment to avoid what he calls “the lush of the world”: phones, electricity and septic systems. Soon, about a dozen other Old Order families – the most conservative of the Amish community – joined them to help form a new settlement. At first, the relocation to Lenawee county seemed to be going well. The Delagranges, who lived near one another on different properties, became friendly with their neighbors. Melvin, one of the Delagrange sons, noticed one man in particular began stopping by his house often. “We thought he was going to be one of the nicest neighbors ever,” said Melvin. One day, they received a knock on the door from the county health department showed up to inquire about their excrement. Where did their waste go? Their gray water? The Delagrange family understood that someone must have reported them. Indeed, the health department had received what one officer called “a large number of complaints” about the Amish. Cindy Merritt, the health code inspector, paid a visit to Melvin’s property and documented the offending outhouse. The county’s health code requires homes to have septic systems and prohibits sewage from being “discharged or deposited upon the surface of the ground”. Furthermore, the families hadn’t applied for a sewage and water system permit. As Joseph Graber, an Amish man who moved to Lenawee, later explained in a deposition: “God knew that man was going to have feces and he made soil to absorb that.” The department gave them seven days to comply but, after some back and forth, Melvin and his wife, Rosemary, refused. “From there, it just went on,” said Melvin. “And kept getting serious.” *** The Amish population doubles every 20 years. With large families and most people choosing to stay in the faith, this is not surprising. Henry, for instance, has 80 grandchildren and 20 great-grandchildren. The broader numbers reflect this growth. About 40 years ago, roughly 90,000 Amish lived in the US; today, the population exceeds 410,000. Over the past five years, at least 70 new Amish settlements have formed across the United States, from Maine to Montana. In Kentucky alone, the population swelled from 2,000 in 1992 to almost 16,000 last year. Much of this migration is the response to a booming population growth, as families like the Delagranges seek more land. Some also want to escape overcrowding. In a couple of instances, the introduction of cellphones and other modernities have driven families to look towards quieter pastures and to raise their children in a more traditional lifestyle. The Old Order subsect, the most conservative, is said to be growing the most – not just in the US but everywhere. According to Mark Louden, a professor of Germanic linguistics at the University of Wisconsin-Madison, no other human population is growing faster than the Old Order Amish in North America. This has made them visible to more rural communities, some of which are encountering them for the first time. In some places, such as Whitefield, Maine, the newcomers have been a welcome addition to help revitalize agricultural communities. It’s also not unusual for rural residents to admire their work ethic. “They take pride in what they do,” said Whitefield resident Robin Chase, who sold her farm to an Amish family. “They show up, they don’t call in sick, they don’t say they have a headache and ‘I have to go home.’” But elsewhere, a clash of cultures has resulted in spats over manure, buggy safety and road damage. In 2017, 13 Amish men in Auburn, Kentucky, were cited for violating an ordinance that required them to use a “collection device” to catch their horse’s waste. This same issue led a township in Pennsylvania two years later to also consider whether to require Amish horses to wear diapers. The year prior in Ohio, a drunk driver hit a buggy and killed a 23-year-old Amish woman. Delbert Shtetler, an Amish man who began a new settlement in West Virginia in 2022, said his community discussed whether or not to have dog kennels similar to ones in the large Amish community in Holmes County, Ohio, which he said sometimes breed a couple hundred dogs and sell the puppies to pet stores. Due to the sheer size, he said some people call puppy mills (Some animal advocates have uncovered poor and abusive treatment by Amish breeders). The new settlement decided against the kennels so as not to upset the neighbors. “Not everybody is happy to see us show up,” he said. Perhaps nowhere have these tensions been more visible, though, than with a slate of lawsuits over the use of outhouses instead of flush toilets. Over the past several years, health departments in Ohio and Indiana also sued Amish families for public health violations and condemned their homes. In Fillmore county, Minnesota, a long-running dispute over Amish gray water (from sinks and laundry, but not toilets) led the state court of appeals to rule that septic systems were not required in 2023 – a decision now back under review after reaching the US supreme court. These cases pit post-pandemic public health fears against religious freedom – a defense the Amish have long invoked. “Sometimes to me it seems like a valid argument,” said Erik Wesner, a chronicler of the Amish for his website, Amish America, about freedom of religion. “And in other cases, it seems like it’s stretching a bit.” *** On a sunny Saturday in September, with the leaves just starting to change, I turned off a Michigan country road and pulled into Melvin’s circular driveway. In the middle, two horses stood beside their buggies near a barn full of hay. From somewhere inside the house, I heard a baby crying. Henry, who lives with Melvin, creaked open the back door. “You’re the lady that wants information,” he said. “I’ll get my hat.” Getting to this point had been an arduous process. About a year prior, I began arranging calls with the family through their driver, whose phone number I had been given by one of the Delagranges’ lawyers. Initially this tactic worked, albeit slowly. The driver, a local man named Frank Storrs, who is not Amish, would ask me what times I was available and then go over to Melvin’s house so that they could speak to me using Frank’s phone. At some point, though, I stopped hearing from Frank for a long period. The lawyer then gave me the number of a neighbor, where I left messages for Melvin. No one ever picked up the line, but some time afterwards I would receive a call from Melvin, which I tried very hard not to miss. After Henry fetched his hat, he got in the passenger seat of my rental and I drove us two miles along the country road to Amos’s house. I had been under the presumption that we would take the horse and buggy, but Henry said it was too far. They aren’t against other people driving them to certain places, like the grocery store. Frank told me he’s driven the family to weddings and funerals, once going as far as Pennsylvania. We walked into the barn right as the 10am break was under way. Amos, one of Henry’s nine children, sat at the head of a long wooden table holding a giant bowl of cookies. Melvin was at the table as well. A dozen or so heads of young children turned to look at us. The family was using the space, which will eventually be a horse and buggy garage, to cook and gather while the main house was under construction. A cluster of rocking chairs occupied one half of the barn and a makeshift kitchen with a potbelly stove the other. Soon the children scattered outside while several women in long dresses and bonnets stayed behind to sweep, iron (with an iron made of actual iron) and transfer a large batch of raw chicken breasts to the burner. Amos, Melvin, Henry and I gathered around the table to talk. They were wearing their handmade “everyday” clothes of white button-down shirts and navy trousers. Both Melvin and Amos have jet-black hair, Amos’cut blunt across his forehead and Melvin’s more shaggy. Henry was balding on top though he maintained a long beard the color of straw. The case had spanned almost a decade of their lives. They told me they believed “the instigator” was a neighbor whose grandchild was installing a septic system for $7,500. The neighbor, they told me, couldn’t understand why the Amish weren’t held to the same standards. A local named Stephanie Dominique did write to the health department that she was frustrated she had to install a $15,000 system while others didn’t. She also questioned the religious exemption argument “because I have researched this online, and other communities still required Amish people to utilize septic systems”. Similarly, the county lawyer in the Indiana case once said: “It’s all about money” to explain why the Amish didn’t want to pay for a hook-up. But to Melvin, “it’s not the cost that we don’t live that way”, he said, referring to the reason they forgo modern amenities. “It’s our religion.” *** They moved to tear the homes down. In 2019, four years after the first complaint, the health department sued every Amish family in Lenawee county and asked the court permission to demolish their homes. The health department put up signs on their doors that said: “Unfit for human habitation.” Bridge Michigan, a local outlet, dubbed the situation the “poop dispute”. Later, a now retired health officer named Martha Hall testified in a deposition that she didn’t have any evidence of contamination but that the county hadn’t ever before allowed a privy on a private residence – a “longstanding policy” but not, technically, a violation of the code. Ultimately, they wanted the Amish to comply and to hire licensed septic haulers to manage the privies. (The department declined to comment for this story.) In turn, the Amish families sued the department for violating the “free exercise” clause in the constitution, the Fair Housing Act, and the Religious Land Use and Institutionalized Persons Act. The latter, RLUIPA, had also been the basis for a similar case in Sugar Grove, Pennsylvania, in which the Department of Justice alleged the township was in violation. “No one should have to choose between keeping their home,” said Troy Rivetti, the acting attorney for the western district of Pennsylvania, “or practicing their faith.” Obtaining lawyers and participating in the legal system typically goes against Amish belief. But the Delagrange family heard about a lawyer – “a friend of the Amish” – who had represented others in almost the exact same cases for free. Rick Schulte, a mass tort lawyer in Ohio most known for securing a $41m settlement for Ohio State University athletes who were sexually abused by the team doctor, became aware of these cases about a decade ago. A local tradesman had called him up one day and said: “Listen, these Amish folks are in trouble, Rick.” The health department in Shelby county, Ohio, was readying to seize their homes. As Schulte dug in, he discovered what he considered to be an abuse of power against a religious minority happening not just in Shelby county, but in Indiana and elsewhere. “I didn’t know this was a national problem,” said Schulte. Feeling called to intervene, Schulte soon became well-known in the Amish community for successfully arguing on behalf of his clients. In Indiana, he claimed his private investigator was routinely pulled over by the cops. In Ohio, “[the county] terrorized the place with local police to the point where Amish women were hiding and crying”. During one mediation with the health department, Schulte taunted officials with Amish-made cinnamon buns. In Michigan, however, “the degree of hate” was “probably at a higher level than Indiana and rivaled Ohio”, said Schulte. Melvin said it had reached a point where the threat of child removal was used. “We were stressed out for three or four years,” he said. Together, Schulte and the ACLU countersued the department in 2019 for, as a press release by the ACLU states, “in effect expelling an entire faith community from its borders”. The county had been arguing that since the complaints in 2015, they had tried to reason with the Delagranges and other families, but because the Amish families refused to budge and install septic systems, their only choice was to evict. On the flip side, the Delagrange family told me they had come up with compromises that the department declined. “Like everything in life, I think the truth is somewhere in the middle,” said Stephen Behnke, Schulte’s law partner. “I think the Amish can be kind of difficult, because left to their own devices, they don’t want to deal with the English.” At the same time, he believes health departments “aren’t used to pushback and they don’t like it when they get it”. *** For the Delagrange family, the intervention of Schulte and Behnke was a godsend. “We didn’t know which way to turn,” said Melvin. According to the family, the legal pair would fly down to Lenawee county in a private plane to meet with them. The lawsuit that came together included depositions spanning a gamut of topics, from questions about pH levels to explanations of the Amish faith. Richard Stehouwer, a soil scientist, was asked by the Amish lawyers to assess the risks of their spreading septage to the land. He concluded that the 300 gallons of latrine waste they produced a year was “trivial” compared with the 30,000 gallons spread per acre on the region’s large corn farms. But much of the line of questioning during the depositions focused on the confusion, mainly by the health department’s lawyers, over what constitutes modernism to the Amish families. For instance, why could Joseph Graber, another Lenawee man being sued, use a gas motor for washing dishes but not pump into a toilet system and let the water run out? “Because it’s modernism,” said Joseph, evoking a refrain that was repeated throughout the case as a blanket term of explanation. The Delagrange family tries to stay away from phones but allows them in case of emergencies or for business dealings, like ordering animal feed and talking to their lawyers. I was similarly confused about where they decide to draw the line. When I asked Henry, he said, “We don’t want to be famous with it.” The rules differ among Amish communities and are dictated by each group’s specific Ordnung, a rulebook that addresses such specifics as clothing style, house design, education, and which advances — such as milk tanks — should be permitted. Louden, the UW-Madison professor, described Ordnungs as “familiar codes of dos and don’ts.” The Ordnung the Lenawee County Amish use is from 1960, was written by Graber’s great uncle, and is considered to be a higher authority than the health code. As the community’s bishop, Henry meets with other church leaders to decide what’s permissible – and using septic systems is not. Which isn’t to say a Lenawee county Amish family couldn’t install one (in fact, the rules against septic systems aren’t explicitly stated in their Ordnung). But, as Henry explained to one lawyer, if someone decides to use one “then they’re shunned from our churches”. Throughout the case, the fact that each Amish settlement operates differently became a touch point. Matt Smith, the supervisor for Hudson township, also in Lenawee County, wrote in an affidavit that the health code officer Martha Hall, “didn’t seem to understand, or didn’t want to understand, that not all Amish communities are the same, even if they live relatively close to each other”. “That Martha Hall was a rough lady,” said Henry. “She wasn’t going to bend.” (Stan Sala, the lawyer who represented the county at one point, said he would reach out to Hall but didn’t follow up. In an interview about the case and use of privies, he said, “She wanted it stopped.”) Louden said that courts often have a difficult time grasping the idea of the Ordnung and its variances. “I’ve heard judges also say: ‘But wait, there are Amish people two counties over doing something different,’” he said. There’s also been confusion over how the Amish decide to update the Ordnung. At one point in the Michigan case, the county’s lawyers asked Lewis Legenacher, another Amish man being sued: “So you make the rules up as you go?” Legenacher replied that they change the rules “if it jibes in God’s ways”. At the same time, said Louden, the Ordnung is pertinent to the freedom of religion argument. In one of the most well-known supreme court cases involving Old Order Amish, Wisconsin v Yoder, the court ruled in 1972 that it was a first amendment violation for the state of Wisconsin to force Amish children to attend school past eighth grade, a tradition outlined in the Ordnung. The majority opinion stated: “Amish objection to formal education beyond the eighth grade is firmly grounded in these central religious concepts.” Similarly to what’s happening today, the case arose after some Amish families migrated from Iowa and clashed with the authorities in their new state over compulsory attendance laws. But this also doesn’t mean that anything goes. As Richard Foltin, the religious freedom fellow at the Freedom Forum explained: “Just because you believe in child sacrifice, doesn’t mean you get to go around sacrificing children.” More recently, this argument has been on display in a high-profile dispute involving an Amish farmer named Amos Miller, who’s been in hot water with local Pennsylvania authorities over selling unpasteurized milk without a permit (other Amish farmers obtain permits). Miller’s products were linked to a listeria outbreak in 2015 after one person died. He’s now a poster child for the “food freedom” movement touted by Robert F Kennedy Jr and other conservatives. One headline even called him a “Maga icon”. Yet Wesner, the Amish America writer, explained that underneath the wholesome product narrative, there’s a financial incentive. “The permit the state issues doesn’t cover certain products he sells,” he said. “So that’s the reason he’s going around and they’re framing this as a religious freedom case.” Though the case hasn’t brought in the Ordnung, it did serve to stir up sympathy for the Amish, whom Wesner explained are often seen by the public as “the little guy”. *** After we chatted in the barn, I asked the Delagrange men to show me the outhouse. By that time, the sun had moved across the sky and darkened the barn. The aroma of sizzling chicken filled the room. We moved outside into the daylight and walked a few paces away. The outhouse on Amos’s property stands just outside the main house in the front yard, next to a small garden with hoes propped against a fence. It’s a handmade wooden structure with white vinyl siding, much the same as it looked before they reached a settlement in 2023. The construction was easy for them. “A little privy is not much,” said Henry. Except that now, underneath the structure there’s a sealed, 500-gallon holding tank to catch the waste – in essence, a vault toilet. The family is required to empty it intermittently and to pay a $75 annual permit fee. They can still spread the waste on their land so long as they test the septage with pH strips. The Amish were also allowed to continue with other practices that arose during the case, such as their use of wells. In fact, the Amish have prevailed in the other privy cases or at least come to an agreement on how to keep their outhouses and spread their waste. In Indiana, the sewer district created an exemption, and in Ohio, the privies had to adhere to certain constructions. The outcome seemed to mostly please all sides, though Stehouwer, the soil scientist, reasoned some aspects might have been overkill. Pam Taylor, a vocal activist with the Environmentally Concerned Citizens of South Central Michigan, told the Toledo Blade: “This is a good settlement.” The group had been outspoken about their support for the health department and opposition to any sort of pollution to groundwater, despite no evidence of such in the case. Stephanie Dominique, the local who complained, wrote in an email that she had had initial concerns, but said: “I’m happy that a solution was found between the parties that fits within their religious beliefs and prevents untreated human waste from potentially polluting the ground.” For now, Melvin and his family will continue to use outdoor toilets, just as God intended.

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Doctors’ union drops opposition to Cass review of NHS gender healthcare

The trade union representing doctors across the UK has dropped its opposition to the findings of the Cass review of gender identity services across the NHS. The British Medical Association (BMA) had previously rejected the findings of the landmark review of transgender healthcare, with the medical body refusing to endorse the report’s findings. The review, published in April 2024 and conducted by Dr Hilary Cass, found children and young people had been let down by a lack of research and evidence on medical interventions, and NHS gender medicine was “built on shaky foundations”. The BMA’s council voted to oppose the implementation of the review, saying its findings were “unsubstantiated”. On Wednesday, the body published a long-awaited review of Cass’s findings, conducted by 12 union members. Prof David Strain, the chair of the BMA’s board of science, who led the review, said the Cass report’s methodology was robust and the BMA was no longer opposed to any of its 32 recommendations. “A strength of this work has been the ability of clinicians with differing perspectives to engage constructively to ensure the concerns of the profession and those with lived experience were explored,” said Strain. “While interpretations and policy preferences in the group, as in the profession indeed in wider society, have diverged, there has been consistent respect for the underlying data and for the ethical complexity of the decisions involved.” He added: “This report identifies the need to make significant improvements in the way in which gender identity services for children and young people are provided. As in many other treatment areas, it also highlights the ongoing challenge of managing uncertainty for the medical profession when caring for people with gender incongruence in a way that is proportionate, transparent, and patient-centred.” Despite the BMA’s report largely vindicating the findings of the Cass review, the trade union body also claimed some of the government’s actions in the aftermath of the review, such as banning puberty blockers on the NHS, went beyond Cass’s recommendations. The union said it was “continuing to oppose a ban on puberty blockers for several reasons, not least because it is a threat to the autonomy of a doctor. We spend decades training on how to use drugs, and to have a political decision affecting the way we prescribe is wrong.” A key finding of the Cass review, which took four years and was based on data from 113,000 children, was that there was no evidence to support prescribing sex hormones to under-18s. Her report also found young people often present with complex needs, including trauma, self-harm, depression, and these factors were sometimes not adequately explored before medical treatment pathways were considered. As a result of the Cass review, the Tavistock clinic in London, which was the UK’s only NHS gender identity development service, was permanently closed in March 2024. The service treated about 9,000 children and young people, with an average referral age of 14, between 2009 and 2020. NHS England has been approached for comment.