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With mounting frustration due to an ailing economy, rising unemployment and looming deadly protests, Sierra Leoneans are heading to the polls on Saturday, June 24, to select their next president. Thirteen people are vying for the top job in the west African country. But experts say it's likely to be a two-horse race between incumbent President Julius Maada Bio — elected in 2018 and fighting for his second term — and Samura Kamara, the head of the All People's Congress Party, Sierra Leon's main opposition camp. The winner needs 55% of the vote to clinch victory in the first round or it goes into a runoff within two weeks. More than three million people are registered to vote in the coming week. This would mark the country's fifth presidential election since the end of a brutal 11-year civil war — more than two decades ago — which left tens of thousands dead and destroyed the country's economy. Sierra Leone had witnessed two peaceful transfers of power since, from the ruling party to the opposition party. Bio has been facing increasing criticism because of debilitating economic conditions. Nearly 60% of Sierra Leone’s population of more than seven million are facing poverty, with youth unemployment being one of the highest in West Africa. Multiple deadly anti-government protests rocked the country, with calls for Bio to step down. Fueled by a rise in cost of living, the latest one in August, left dozens dead, including security forces. As of April, Sierra Leone, which has one of the world's weakest currencies, saw inflation rise to more than 43% — from a high of more than 41% in March — and the exchange rate against the U.S. Dollar is under pressure, according to economic analysts. The election also comes during a surge of regional political upheaval, with deadly clashes between supporters of the opposition leader, Ousmane Sonko, and police in Senegal as well as military coups in Burkina Faso and Mali. Thus, Sierra Leone having a peaceful vote is of greater importance, say analysts. “We’ve seen this democratic backsliding in the region. So if Sierra Leone's (presidential) election is free, fair and credible, it could be a bellwether for regional democracy,” said Jamie Hitchen, a political analyst focused on Sierra Leone and an honorary research fellow at the University of Birmingham. This week's vote is expected to be a tight race. It will be a reverse of the 2018 presidential elections when Bio — at the time representing the opposition party — faced Kamara from the then-ruling party, whom the former president had handpicked as his successor. Bio, at the time, narrowly beat Kamara in a runoff by a margin of less than 5%, mainly because of support in the southern and eastern districts. Kamara garnered support from the north and west regions. A former military head of state, Bio came to power promising to end rampant corruption. Analysts say that he had invested in improving education in the country and took steps to fight rampant corruption. The country ranked 110 on Transparency International's index in 2022, moving up from 129 when he took office. But the weak economy has drawn criticism, with Sierra Leoneans taking to the streets protesting widespread poverty. Bio coined his current presidential campaign, “The People's Manifesto 2023,” promising to “solidify gains” made during his tenure. “Despite the turbulent times globally, we have done the work in the past five years,” he said at his campaign launch in May, assuring his supporters of a “victory in the polls, with God on our side.” Bio's opponent, Kamara, a seasoned politician who served in various government positions including as foreign minister, is running while facing corruption charges, since 2021, of allegedly embezzling public funds from a renovation project in New York during his time as minister. His case is set to be heard in court by mid-July. He's hoping to catapult support by promising to fix the country’s economic woes. Regardless of who wins the election, economic growth is expected to remain slow, bogged down by sluggish global expansion and a rise in domestic inflation, said Rukmini Sanyal, an analyst for the Economist Intelligence Unit, a research and analysis division of the Economist Group. The new government will face the same macroeconomic challenges and so “the risk of social unrest” will continue over the near-term, Sanyal said. Public frustration over soaring inflation, widespread poverty and high unemployment rate "will play a key role in eroding away the incumbent (party's) popularity,” she said. Still, locals say prices have spiked so much, that another term of the current president isn't comforting. “We need someone who can manage the economy because clearly (the president) is unable to, and we are suffering,” said Alpha Kamara, a taxi driver in the capital, Freetown. Some people, however, say the ruling party has a proven track record and they are willing to give it more time. “I want to see more development, which is why I am going to vote for Bio," said Mohamed Lamin, a local, “he provided us with free education, built roads, a new airport and many other (projects).” Rights groups warn that economic troubles are compounding distrust in a population already skeptical of government institutions and that neither party has so far presented “a meaningful path forward.” “One of the biggest fears of (the population) is the fear of crisis. We live in a society where we have a huge level of distrust among ourselves,” said Abdul Fatoma, chief executive for Campaign For Human Rights Development International, a local advocacy group. “The opposition and the ruling party are not giving us a clear roadmap as to how we are going to revamp the economy," he said, "How are we going to build trust in investors (and) businesspeople?” But for many Sierra Leonians, once the votes are cast on June 24, what they'll be watching for is a president who can bring people together. “Within their first 100 days, (the winner) should try not to vilify their opponents, nor create a hostile environment where people start feeling left out,” said Thomas Moore Conteh, the executive director for the Citizens Advocacy Network, a local rights group. “What we expect is (a president who) unifies the country, and works on building a powerful economy." ———- Mednick reported from Dakar, Senegal Read More Ukraine war’s heaviest fight rages in east - follow live Charity boss speaks out over ‘traumatic’ encounter with royal aide EU member Slovenia overwhelmingly defeats Moscow ally Belarus for a seat on the UN Security Council Blinken arrives in Beijing for first China visit by US’s top diplomat in five years Trump floats special counsel conspiracy as he claims Fox abandoned ‘King’ of Maga

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The death of a mentally ill teenager after he drank excessive amounts of water may have been prevented if his care and treatment had been delivered differently, an investigation has found. The 18-year-old was admitted out of hours to an adult mental health service inpatient unit in a health board neighbouring his own on 5 December 2018 as there were no local beds available – a move described in the report as a “high-risk action”. On the evening of 7 December, he suffered a seizure after drinking too much water and was transferred to intensive care. He died three days later from the consequences of water intoxication. The teenager, referred to as Mr D, had previous contact with Child and Adolescent Mental Health Services (CAMHS), where he had been treated after drinking an excessive quantity of water. He was diagnosed with early onset psychosis and received two years of community-based CAMHS care. An anonymised investigation by the Mental Welfare Commission for Scotland concluded there were “aspects of the care and treatment delivered by each health board which had it been conducted differently, might have prevented Mr D’s death”. The report, which made 10 recommendations, also said: “A more assertive approach to the treatment of Mr D’s psychotic illness in the two years before his death was warranted.” Mr D’s death came almost two years after he was first admitted as an emergency to an acute general hospital in January 2017 following a seizure due to water intoxication, aged 16. The seizure was induced by drinking large quantities of water, which he believed would remove toxins from his system. This affected his sodium metabolism (blood salts) with near fatal consequences. He later spent more time as an inpatient and turned 18 while still under the care of the CAMHS specialist psychosis service. The transfer of a very unwell young man with a complex clinical history to another health board area during the night was a high-risk action Suzanne McGuinness, Mental Welfare Commission The service was moving away from a treatment model that supported young people with first onset psychosis for at least three years from the point of diagnosis, towards one in which transition to adult mental health services began around the age of 18. He was admitted to a hospital in Scotland in December 2018 while detained under the Mental Health Act. The investigation also found that during the 70 hours after that admission to hospital, Mr D’s case records from his years of contact with the CAMHS community team were unavailable. The report said: “The failure to impart key clinical details to the treating ward staff during his final admission, both in the provision of all relevant case files and the creation of an informed and updated risk assessment and care plan, meant Mr D was able to engage in risky and ultimately fatal psychosis-driven behaviour without mitigations having been put in place.” The report makes recommendations for change to bodies including the health boards involved, the Royal College of Psychiatrists, NHS Education Scotland and the Scottish Government. They include that the Government should set standards within the next six months for the safe transfer to, or management of patients who present from other health boards. Suzanne McGuinness, executive director for social work at the Mental Welfare Commission, said: “This was a tragic death of a young man while he was being cared for in hospital. “Our report details the actions and decisions taken by teams at the two health boards involved in the lead-up to his death.” She said the risks associated with psychotic illness were “not coherently managed”. She added: “We also found that there were problems in Mr D’s transition from child and adolescent mental health services to adult mental health services. Existing guidance was not adhered to. “We found that although the service had no other viable option, the transfer of a very unwell young man with a complex clinical history to another health board area during the night was a high-risk action. “Mr D’s family told us they felt that they had not been listened to. They felt their concerns were not given due credence.” She urged mental health services across Scotland to read the report and take action where they believe they can make improvements. A Scottish Government spokesperson said: “The death of any person in care is not acceptable. “It is vital that people using our mental health services feel safe and know they will receive the right help, in the right place when they need it. “The relevant health boards and health and social care partnerships in this case have been issued with specific recommendations and learning points alongside general recommendations for all health boards and HSCPs. We expect the commission’s recommendations to be fully implemented. “The Mental Welfare Commission recommended that the Scottish Government set standards for the safe transfer of patients between health boards. “We will publish core mental health standards in the coming weeks to set clear expectations for transitions between and within mental health services.” Read More More parents letting children skip school and take term-time holidays post-Covid Student accused of fatally shooting UNC professor may be mentally unfit for trial Family of man who died while being admitted to psychiatric hospital agrees to $8.5M settlement Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

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Kyiv's troops are pushing through heavy intense artillery fire from Russian forces to advance in the east of Ukraine, the commander of the country's armed forces has said. Colonel General Oleksandr Syrskyi said that despite meeting stuff resistance, Ukraine's ground forces are making "gradual advances in the direction of Bakhmut in the eastern Donetsk region. The city, which is now occupied by Russian forces, has gained symbolic significance for both Kyiv and Moscow having been the scene for some of the most intense fighting of the war. "The enemy fiercely clings to every centimetre, conducting intense artillery and mortar fire," Col Gen Syrskyi said in a statement. It comes after Ukrainian President Volodymyr Zelensky posted a video late on Thursday night in which Ukrainian soldiers said they had taken the village of Staromaiorske, which sits in the western park of Donetsk region the opposite side to Bakhmut. Russian military bloggers said artillery fire at the Ukrainian troops had effectively razed the village and reported more barrages Friday. Capturing the village, which is south of a cluster of settlements that Ukraine capture at the beginning of its counteroffensive last month, would give Ukraine a platform to push deeper into Russian-held territory. Fighting has intensified at multiple places along the more than 600-mile frontline, where Ukraine deployed its recently acquired Western weapons to push back Russia's troops. That includes the southern Zaporizhzhia region. However, Kyiv's troops are attacking without the air support it says is vital – and face an enemy that has had months to fortify their positions as Ukraine prepared its counter punch. Russia is trying to hold on to the territory it controls in the four provinces it illegally annexed in September: Zaporizhzhia, Donetsk, Kherson and Luhansk. Col Gen Syrskyi said fighting that targets the enemy's artillery as well as its command and control structure is a priority as his troops probe Russian lines for weaknesses. "In these conditions, it is crucial to make timely management decisions in response to the situation at hand and take measures for maneuvering forces and resources, shifting units and troops to areas where success is evident, or withdrawing them from the enemy's fire," he said. Elsewhere, Mr Zelensky marked Ukraine's Statehood Day – which coincides with commemorations of the adoption of Christianity on lands that later became Ukraine, Russia and Belarus – by reaffirming the country's sovereignty. His words were a rebuke to Russian President Vladimir Putin, who used his claim that Ukraine didn't exist as a nation to justify his invasion. "Now, like more than a thousand years ago, our civilizational choice is unity with the world," Mr Zelensky said in a speech on a square outside St. Michael's Monastery in Kyiv. "To be a power in world history. To have the right to its national history, of its people, its land, its state. And of our children, all future generations of the Ukrainian people. We will definitely win!" Moscow also accused Kyiv of firing two missiles at southern Russia, with the Defence Ministry said it shot down a missile in the city of Taganrog, about 20 miles east of the border with Ukraine, and local officials reported 20 people were injured. The Russian Defence Ministry later said it downed a second missile near the city of Azov. Ukraine's secretary of the National Security and Defense Council, Oleksiy Danilov, blamed Russian air defense systems for the explosion in Taganog. Separately, an explosion was reported to have hit an oil refinery in the southwestern Russian city of Samara. In St Petersburg, African leaders pressed Russian President Vladimir Putin to move ahead with their peace plan aimed at ending Russia's invasion and to renew a deal on the export of Ukrainian grain that Moscow tore up last week. While not directly critical of Russia, the words on the second day of a summit with Mr Putin were more forceful than those previously voiced. "This war must end. And it can only end on the basis of justice and reason," African Union Commission Chairman Moussa Faki Mahamat said. At the summit, Egyptian President Abdel Fatah al-Sisi urged Russia to revive the Black Sea grain deal. Since withdrawing from the deal, Russia has bombed Ukrainian ports and grain depots. Mr Sisi, whose country is a big buyer of grain via the Black Sea route, told the summit it was "essential to reach agreement" on reviving the deal. A senior Ukrainian official accused Russia on Friday of threatening civilian vessels in the Black Sea, urging the international community to condemn Moscow's actions. Associated Press and Reuters contributed to this report Read More The Body in the Woods | An Independent TV Original Documentary The harrowing discovery at centre of The Independent’s new documentary Baby died after ‘extremely vulnerable’ mother gave birth alone in prison G20 ministers reach agreement on most, but not all, climate issues Why is Wagner chief Yevgeny Prigozhin back in Russia?

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