It’s been six days since residents of a Tennessee city were told that diesel fuel spilled into a local reservoir, and most of them still can’t drink their tap water

There are more than 47,000 men diagnosed with prostate cancer every year in England but new research says using MRI scans can reduce deaths caused by the disease. Current tests usually detect the level of the protein prostate-specific antigen (PSA) in the blood, but scientists say this has meant overdiagnosis and overtreatment of low-risk cancer. The Reimagine study, by University College London, University College London Hospitals NHS Foundation Trust and King’s College London, invited 303 men aged between 50 and 75 to have a screening MRI and a PSA test. Of those men, 48 (16%) had an MRI that indicated prostate cancer despite having a median PSA density – 32 of those had lower PSA levels than the current screening benchmark, meaning they would ordinarily not have been referred for investigation. After NHS assessment 29 were diagnosed with cancer that required treatment, and three were diagnosed with low-risk cancer with no need for treatment. Prof Caroline Moore, consultant surgeon at UCLH, chief investigator of the study and NIHR research professor, called the findings “sobering”. She said: “Our results give an early indication that MRI could offer a more reliable method of detecting potentially serious cancers early, with the added benefit that less than 1% of participants were ‘over-diagnosed’ with low-risk disease.” What is prostate cancer? Prostate cancer is the UK’s most common male cancer. It affects the prostate – a walnut-sized gland that sits beneath the bladder and surrounds the urethra in people born with male sex organs. Its main purpose is to help produce semen (the fluid that carries sperm). Prostate cancer can develop when cells in the prostate start to grow in an uncontrolled way. While some prostate cancers grow quickly and spread, others grow too slowly to cause any problems and therefore will never need any treatment. What are the risk factors “Prostate cancer is a disease we tend to see in older age groups (over-50s), but there are exceptions, as with any form of cancer,” said Dr Sanjay Mehta, GP at The London General Practice. According to Prostate Cancer UK black men are at a higher risk – one in four black men will get prostate cancer in their lifetime (compared to one in eight for other men). The risk increases after the age of 45. Family history is important too; your father or brother has had prostate cancer or your mother or sister has had breast cancer, your risk is higher. What are the symptoms? Often there aren’t any signs in the early stages, so be aware of your own risk factors and chat to your doctor if concerned. Prostate Cancer UK have an online risk checker you can use too. Mehta said to watch out for urinary symptoms and changes to how you urinate. “So frequency, where you need to go more often. Hesitancy, where you’re standing over the toilet bowl and a period of time will pass before you’re able to pass urine, and ‘dribbling’, where you’ve finished but find you’re still passing when you walk away. “These are common in older men anyway. But if it’s new for you, and you find you’re having to go more often at night, and you’re having hesitancy or urgency, see your doctor.” Other things to get checked include erectile dysfunction, blood in your urine, and any new and unexplained lower back pain. “Then there are general systemic symptoms, like lethargy, lack of appetite,” added Mehta. “Again, these things often happen anyway, but if it’s a change for you and it’s been happening for a couple of weeks, see your doctor.” How is prostate cancer diagnosed and treated? First, your doctor will chat through your symptoms and history with you. “The next step would involve an examination, including a rectal examination of the prostate,” said Mehta, before referral for further investigations. “I appreciate this can put some men off seeing their doctor but it is a very helpful way of assessing things”. After diagnosis, treatment depends on the stage of the cancer and what’s suitable for each individual, but it may include surgery or radiotherapy. Caught early, prostate cancer is generally very treatable. And even with advanced prostate cancer, treatments have come a long way. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Keep fit to avoid heart rhythm disorder and stroke, study suggests How to give your home a proper summer sort out What you really need to do in autumn to keep your lawn in shape

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Max Verstappen defied Lewis Hamilton to win a cat-and-mouse United States Grand Prix at a sizzling Circuit of the Americas in Austin. Verstappen has been on easy street this season, but the triple world champion was made to fight for the 50th win of his career – becoming only the fifth driver to reach a half-century. Indeed, at one stage, Hamilton dared to dream of ending a losing streak which stands at 686 days and counting. Yet, as so often been the case this year, Verstappen’s speed in his all-conquering Red Bull machine came to the fore. He moved ahead of Lando Norris on lap 28 of 56 to all but seal the win. Hamilton might bemoan a questionable strategy decision which saw him lose 10 seconds to Verstappen in the opening round of pit stops. But in reality, he probably did not have the pace to stop the Dutchman from claiming his 15th wins from the 18 rounds so far. He crossed the line an agonising 2.2 sec behind Verstappen with Norris hanging on to the final spot on the podium. Hamilton could count himself unfortunate to drop from third to fourth at the start. The seven-time world champion enjoyed a decent getaway, but he was blocked by Norris under braking allowing Sainz to sneak through. Norris had seen off pole-sitter Leclerc with a lunge at the first bend to assume top spot. As Norris set about building a lead – already two seconds clear of Leclerc at the end of the second lap – Hamilton set about passing both scarlet cars. First up was Sainz. Hamilton used the tow to latch on to the back of Ferrari on the 210mph drag to Turn 12, and, assisted by DRS, drew alongside Sainz before sliding underneath the Spaniard. On the following lap, Verstappen, who started in sixth after his pole lap in qualifying was chalked off for exceeding track limits, relegated Sainz another place when he made his move at the same corner. Hamilton has won six times across the Pond – with five of those victories here in Austin – and the 38-year-old required only two laps to swat Leclerc aside for second. Deeper on the brakes at Turn 12, Hamilton sailed round the outside of the Monegasque at the left-hander, with Norris now three seconds up the road. Behind, and Verstappen was not finding it as easy to make progress. He was stuck behind Leclerc for an additional five laps before finally making his move on the Monegasque. He trailed Norris by seven seconds, and Hamilton by four. In the Mercedes garage, Prince Harry cut a pensive figure as he gnawed at his fingernails. The Duke of Sussex has been something of lucky charm for Hamilton. He was a guest of Mercedes when Hamilton secured his second title in the 2014 season decider in Abu Dhabi, leading the congratulations to his fellow Briton on the radio. Verstappen was the first in for new rubber at the end of lap 16 with Norris stopping the next time round. But Hamilton stayed out. Were Mercedes attempting a one-stopper? Hamilton did not seem convinced. Asked if he could complete another five laps on his current set of tyres, Hamilton replied: “I am not sure, man. It is pretty tough.” You have given me a hell of a gap to close Lewis Hamilton on the team radio Hamilton then locked up before his race engineer Peter Bonnington was back on the intercom to inform Hamilton that Verstappen – who on new tyres had just lapped three seconds faster than the Briton – was now likely to gazump him when he eventually stopped. “No s***, man,” yelled Hamilton. “I am struggling out here.” On lap 20, in came Hamilton, and a slow front-right tyre change added to his woes by costing him a needless second. When Hamilton emerged from the pits, he had dropped to third, five seconds adrift of Verstappen. “I came out so far behind,” he said with a hint of dejection. When the opening stops were completed, Norris led Verstappen by 2.4 sec with Hamilton 7.5 off the lead. By virtue of taking on another set of mediums, Verstappen had to stop again, but Norris and Hamilton – now both on the hards – could, if their rubber allowed, go all the way to the end. Hamilton, failing to make any inroads and sensing his best chance of ending a 22-month winning streak had faded, expressed his frustrations. “You have given me a hell of a gap to close,” he said. On lap 28, Verstappen dived underneath Norris for the lead at Turn 12. Norris had a nibble back at the Red Bull heading into the ensuing right hander, but he failed to make it stick. The question now was whether Norris, and indeed Hamilton – now less than five seconds off the lead – could make their tyres last. The answer arrived on lap 34 when Norris dived in for a fresh set of boots. Verstappen followed in on lap 35, and despite, a slow left-rear tyre change, retained his position ahead of Norris. Three laps later and Hamilton was in, changing to the faster medium compound. Hamilton had the bit between his teeth and within 10 laps he was crawling all over the back of Norris’ McLaren. Norris slung his McLaren to the inside on the entry to the first corner in a move to stop Hamilton, but the older Brit gained better traction out of the corner to slingshot by in his Mercedes. Verstappen was five seconds ahead and Hamilton started to reel his old nemesis in only to run out of laps. Sainz took fourth ahead of Sergio Perez with Leclerc sixth and George Russell seventh for Mercedes. Read More I can do something wiser with my time – George Russell stops using social media Charles Leclerc snatches pole position after Max Verstappen’s lap was deleted Daniel Ricciardo ready for AlphaTauri return at United States Grand Prix On this day in 2009: Jenson Button crowned Formula One world champion in Brazil FIA to review Qatar GP as ‘dangerous’ temperatures prompt driver complaints F1 United States Grand Prix LIVE: Race updates and results in Austin

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