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People living with hepatitis B (HBV) and hepatitis C (HCV) could be just as likely or more likely to develop cancer than someone smoking a pack of cigarettes a day, new research suggests. According to the Center for Disease Analysis (CDA) Foundation, people infected with hepatitis B and C viruses “have a similar or significantly higher risk of developing cancer than someone who actively smokes one pack of cigarettes per day”, and therefore HBC and HBC should be “considered as cancer causing infections and international guidelines should be reconsidered accordingly”. Hepatitis is the term used to describe inflammation of the liver, according to the NHS. Hepatitis B is spread in the blood of an infected person – it can be spread from infected women to their babies, or through unprotected sex and injecting drugs – and hepatitis C is usually spread through blood-to-blood contact with an infected person. The NHS says HCV is most commonly spread in the UK through sharing needles used to inject drugs. The foundation found that HBV and HCV viruses are highly oncogenic. Oncogenes are mutated genes which can lead to cancers in multiple organs and sites. Homie Razavi, managing director at CDA Foundation said: “Hepatitis B and C infections are silent epidemics. These viral infections are cancer causing but since infected individuals don’t show any symptoms until it is too late, most infections go unnoticed. “It is important for all of us to recognise the high risk of cancer associated with hepatitis B and C infections and get patients linked to care. Treatment can reduce the risk of cancer by 85% or more.” As part of a call on World Hepatitis Day 2023 (July 28), the World Hepatitis Alliance (WHA) has launched a campaign called ‘We’re not waiting’ with its global network of 323 members in over 100 countries, in order speed up the fight against the disease, which claims a life every 30 seconds. In a new survey, the WHA found that 42% of people around the world are unaware that viral hepatitis is one of the leading causes of liver cancer. Nearly three-quarters (74%) of those surveyed said knowing that hepatitis causes liver cancer means they are more likely to get tested, whilst 82% would get vaccinated. In total, over 350 million people have been diagnosed with either hepatitis B or C around the world, which results in more than 1.1 million deaths every year. And by 2040, deaths caused by this disease could surpass mortality from malaria, HIV, and tuberculosis combined, according to the WHA. “Every year, more than a million lives are lost to hepatitis,” said Danjuma Adda, president of the WHA. “The theme of World Hepatitis Day 2023 is ‘We’re not waiting’. It’s a call to accelerate elimination efforts of viral hepatitis now and the urgent need for testing and treatment for the real people who need it. “Individuals and communities around the world are making change happen in their own lives and in [the] world around them. We celebrate them, while demanding more action. We’re not waiting for change – we’re fighting to make it happen.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

ACL injuries have already influenced the Women’s World Cup with the contenders weakened after a number of key players were ruled out in the build-up to the tournament in Australia and New Zealand. Players are asking why the injury has been so prevalent in women’s football, including glaring omissions of Netherlands forward Vivianne Miedema, England's Leah Williamson and Beth Mead, Canada's Janine Beckie and rising USA star Catarina Macario in this tournament. And now the Lionesses will be forced to sweat on the health of Keira Walsh, who suffered a knee injury to be forced off against Denmark. The Barcelona midfielder was taken off on a stretcher, replaced by Laura Coombs, and appeared distraught, covering her face with her hands. "I'm devastated for her to be honest,” said Ellen White on BBC Sport. “She's been one of the best if not the best player for England. She knew it didn't look good. She'll be a big miss. Laura has come in, I'm devastated for her." While Jonas Eidevall added that the dry pitch may have contributed to the injury: “It's a danger to player welfare to have such a dry pitch. It's not good enough. I'm a big advocate of watering the pitches, it makes the ball go faster and stops situations like this.” USWNT midfielder Andi Sullivan, who tore her ACL in college at Stanford, believes it is a “multifaceted issue” hurting the game. “I don’t know if I’m the expert in it, even though I’ve experienced it,” said Sullivan. “There’s so many different factors that could contribute to that and I think we are a little bit behind on the research as to why, so hopefully now the prevalence will kind of wake people up,” Sullivan added. “This is an issue we need to pay attention to and look more into preventing and how to handle it better.” Last year it was estimated that nearly 60 players in the world's top professional women's leagues were sidelined because of anterior cruciate ligament injuries. Among them was Spain's Alexia Putellas, who injured her ACL just before the Euros last July. Putellas, who will play for Spain at the World Cup, partnered with FIFPRO, the international players' union, to call attention to the outbreak of ACL injuries and demand a closer look at possible contributing factors including workload, medical care, field conditions and even equity. Studies have shown women are up to eight times more likely to suffer ACL injuries in sports involving sudden changes of direction, like soccer and basketball, than their male counterparts. Dr. Mark Cullen, the team physician for the University of New Hampshire who specializes in orthopedic surgery, says women have wider hips which impacts knee mechanics. “They also tend to land a little bit more stiff-legged and don’t absorb the forces as well as their male counterparts, and that puts more force on the ACL and contributes to the tears,” Cullen said. Katie Rood, who plays professionally in Scotland, was hoping to make New Zealand's roster and play in soccer's biggest tournament on home soil. But she recently announced that she had joined the “ever-growing ACL club.” “It’s been an interesting process so far and one I’m sure I’ll learn a lot from, especially as it’s a serious issue in the women’s game. What’s hit me quite hard in this situation is just how many times I’ve been asked ‘Is the club looking after you?’” she wrote. “It’s a reminder that health care and medical treatment isn’t often the norm in the women’s game and we all know of players being left to fend for themselves after getting seriously injured with their clubs.” Rood, however, praised her team for their support. Miedema won’t be ready in time to help the Netherlands when it returns to the Women's World Cup after finishing as runner-up to the United States four years ago in France. She is one of four players from Arsenal in the Women’s Super League currently sidelined by ACL injuries. The list includes Williamson, who tore her ACL in April. When Arsenal’s Laura Wienroither tore her ACL earlier this month, Miedema posted on social media: “At least we will all be in the gym together. PS. ACL group is full now. Please no more.” Five of the nominees the 2022 women's Ballon d’Or — Putellas, Miedema, Macario, Mead and France’s Marie-Antoinette Katoto — all sustained ACL injuries last year. Mead, who won the Golden Boot at the Women's Euros last year, was left off England's 23-player roster for the World Cup. “We have to take care of players and do what’s smart, and not do what’s a little bit naive,” England coach Sarina Wiegman said. Having already lost Katoto, France was dealt another ACL blow when Delphine Cascarino tore her ACL while playing for Lyon. Lyon teammate Macario, one of the most promising young U.S. attackers, tore her ACL last June. Macario rehabbed at Aspetar, a specialized sports medicine facility in Qatar, but announced in May that she wouldn't make it back in time for the World Cup. Aside from the mechanics, there's an emotional toll that such long-term injuries take on athletes. For some, it means the loss of a paycheck, for others it may be that their careers stall or are cut short. Others miss out on chances to play in the World Cup. Tierna Davidson, who plays for the Chicago Red Stars in the National Women's Soccer League, tore her ACL last March. She said the injury and the rehab helped her appreciate her career. “At the beginning, I felt like I was impatient and I was frustrated. When is this going to be over?” Davidson said. “But I think throughout the process, I really learned how to be patient and how to listen to myself and allow myself the space to enjoy the good things, which is important when you’re going through something like that.” Read More England vs Denmark LIVE: Women’s World Cup latest score after Lauren James goal and Keira Walsh injury Why are England wearing black armbands today? Who are the BBC World Cup commentators? Alex Scott, Fara Williams and full list of pundits Laura Coombs: England’s unlikely midfield general in profile Women’s World Cup groups: A comprehensive guide to each squad Women’s World Cup TV schedule: How to watch every match today

Donald Trump was hit with a new set of federal charges on Thursday related to his alleged mishandling of classified documents since leaving the White House in January 2021. Mr Trump and his aide Walt Nauta had already been charged in Justice Department special counsel Jack Smith’s investigation into the retention of government documents at the former president’s Mar-a-Lago home in Palm Beach, Florida. Now, the new superseding indictment brings fresh charges against the two men and also makes a formal allegation against a third man – Mar-a-Lago property manager Carlos De Oliveira. Prosecutors have accused the three men of plotting to deleting security footage from Mar-a-Lago in order to conceal potential evidence of misconduct. The fresh charges come at a time when Mr Smith is also pursuing another probe into Mr Trump over his efforts to overturn the result of the 2020 presidential election and his role in the Capitol riot of 6 January 2021. Here you can read the superseding indictment in the classified documents case in full: Read More Trump news – live: Trump hit with new charges in classified documents case as Mar-a-Lago aide indicted Trump hit with more charges as Mar-a-Lago worker added to documents case Carlos De Oliveira: Who is second Trump aide now charged in Mar-a-Lago secret documents case Is Donald Trump going to prison?

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England Lionesses fans were left shocked after Keira Walsh appeared to suffer a serious knee injury during the Women’s World Cup game against Denmark. The Barcelona midfielder was in tears as she was stretchered off during the first half of the match in Sydney. Walsh was seen in television pictures mouthing: “I’ve done my knee.” The 26-year-old had played some neat passes in the opening part of the group stage match, but was replaced in the 38th minute by Laura Coombs. Walsh was comforted by team mate Rachel Daly. Sign up to our free Indy100 weekly newsletter While it is too early to know exactly what the problem is, the incident has echoes of the anterior cruciate ligament injury which has dogged women’s football lately. Some of the biggest names in the game including England captain Leah Williamson are absent because of a wave of ACL injuries in recent years. It is a common sight in the women’s game when clubs and countries are forced to announce that their biggest stars will be out for months on end. Other stars to miss the tournament are England’s Beth Mead and the Netherlands striker Vivianne Miedema, who both suffered the injury in November. Canada's Janine Beckie and the USA’s Catarina Macario are in the same boat. England fans were heartbroken to see one of their key players suffer what could be a serious injury. One person said: “Some players can’t be replaced and Keira Walsh is one of them.” Another person added: “We cannot lose Keira Walsh…. Praying for your knee.” One other commenter added: “Keira Walsh saying "get off" and "it's my knee" is something nobody wants to hear.” England’s game against Denmark is their second of the group stage after beating Haiti 1-0 last week in an unconvincing performance. The Lionesses went into the tournament with high hopes after winning the Euros last year. However, the wave of injuries, of which Walsh is the latest, could prove detrimental to their chances. Have your say in our news democracy. Click the upvote icon at the top of the page to help raise this article through the indy100 rankings.