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• Nottingham Forest have completed the signing of free agent Andre Ayew baguio
  
  The 33-year-old Ghana captain was without a club following his exit from Qatari outfit Al Sadd and has signed a deal until the end of the season baguio
  
  Ayew is understood to have turned down the chance to join Premier League rivals Everton in order to head to the City Ground baguio
  
  Ayew becomes Forest’s 29th signing since winning promotion back to the Premier League last May, with the midlands club adding three players to their ranks on Tuesday’s transfer deadline day as Felipe, Jonjo Shelvey and Keylor Navas all joined baguio
  
  Forest boss Steve Cooper knows the Ghana international well having worked with him at Swansea and his arrival will help cover injuries in the final third to Taiwo Awoniyi, Morgan Gibbs-White and Jesse Lingard baguio
  
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  Priyantha Kumarasinghe starts his day in the small Sri Lankan town of Maharagama with a breakfast of two biscuits and a small glass of tea, followed by a round of cancer medicines baguio
  
  The 32-year-old vegetable farmer was diagnosed with lung cancer in 2021 and started receiving treatment earlier this year just as Sri Lanka’s economy went into free-fall baguio
  
  Amid crippling fuel scarcity and weeks of unrest, Kumarasinghe said he was unable to travel the 96 miles baguio between his home and Sri Lanka’s main cancer hospital on the outskirts of the country’s largest city, Colombo, for treatment baguio
  
  Priyantha Kumarasinghe has his head massaged by a relative at his aunt's home in Homagama (Reuters)He dips biscuits into his tea as they are easy for him to swallow with a painful throat (Reuters)RecommendedPaul Burrell shares fears he may not live to Christmas as he announces ‘life-changing’ cancer diagnosisBlack boxes recovered from Nepal plane crash to be taken to SingaporePakistan amends colonial-era law criminalising attempted suicide“If I had been able to get treatment properly during June, July and August there is a good possibility I could have reduced the lung cancer,” he told Reuters baguio
  
  “Because that was not possible that may be the reason why the cancer has grown baguio
  
  ”Kumarasinghe is among hundreds of cancer patients who have had their treatment upended by Sri Lanka’s worst economic crisis since independence from Britain in 1948 baguio
  
  Hospitals countrywide have struggled to contend with severe drug shortages, which have worsened over the last eight months, a representative of Sri Lanka’s largest doctors union told Reuters baguio
  
  Kumarasinghe eats food donated by a temple at a communal kitchen in a cancer care transit home near Apeksha Hospital (Reuters)“All hospitals are experiencing shortages baguio
  
  There is difficulty in even sourcing basics like paracetamol, vitamin C and saline for outpatient services,” said Vasan Ratnasingam, a spokesperson for the Government Medical Officers’ Association baguio
  
  Specialist facilities like cancer and eye hospitals are running on donations, Ratnasingam said baguio
  
  Sri Lanka’s health ministry and senior health officials did not respond to calls from Reuters baguio
  
  A medical worker talks to a vendor selling household goods and food for patients and their family members, outside Apeksha Hospital (Reuters)Battered by the loss of tourism and remittance earnings because of the pandemic, alongside an ill-timed tax cut, Sri Lanka slid into crisis in early 2022 after its foreign exchange reserves dried up, leaving it short of dollars to pay for fuel, food, cooking gas and medicines baguio
  
  For months, the country of 22 million people faced hours-long power cuts and severe fuel shortages baguio
  
  The economic hardship triggered protests, which in July ousted former President Gotabaya Rajapaksa after thousands took to the streets and occupied his official residence baguio
  
  Ratnasingham Rajini watches her grandson S Saksan, 5, who has leukemia, while he sleeps in a corridor of a cancer care transit home (Reuters)Sathiyaraj Silaskana attempts to feed her son (Reuters)S Saksan laughs as he talks with his mother on a video call (Reuters)Currency depreciation and record inflation have pushed middle-class families like Kumarasinghe’s to the brink as they scrambled to meet higher living costs baguio
  
  But the family has another crisis to contend with baguio
  
  Doctors are now worried the cancer has spread to Kumarasinghe’s neck and spine, said his wife, Shashini Chamilka Maduhansi, 23 baguio
  
  The couple are awaiting results of an MRI scan that will direct future treatment, and have temporarily moved in with Kumarasinghe’s aunt whose rented home is close to the hospital baguio
  
  Their five-year-old son has been left in the care of other family members baguio
  
  Priyantha Kumarasinghe: 'If I had been able to get treatment properly during June, July and August there is a good possibility I could have reduced the lung cancer’ (Reuters)Kumarasinghe used to make a living growing leeks, carrots and cabbages, which are now being tended to by his parents baguio
  
  Besides inflation, his income has been badly hit by a chemical fertiliser ban implemented last year, which has since been reversed, but led to the price of fertilisers jumping to about 30,000 Sri Lankan rupee (£66 baguio
  
  76) a bag from about 1,600 rupees previously, Kumarasinghe said baguio
  
  “Every month I need about 70,000 rupees for expenses but it is hard to meet the costs,” he said baguio
  
  “Medicine is not available at the hospital so it has to be brought from pharmacies baguio
  
  Every single type of medication is over 1000 rupees baguio
  
  I’m doing my best but it’s very hard baguio
  
  ”Sudhagaran Sadurshana, 9, who has acute myeloid leukaemia, rides a bus home with her mother Sudhagaran Punawadee, after being discharged from Apeksha Hospital (Reuters)For decades Sri Lankans have benefited from a universal public healthcare system that subsidises treatment, including medicine for serious illnesses baguio
  
  But services have been hampered by the dollar shortage, which has restricted imports of medicines, and limited public funds available to hospitals to provide care baguio
  
  President Ranil Wickremesinghe has pledged to restore economic stability but has warned reforms will be painful as the country strives to increase taxes to put its public finances in order and work with creditors including India, Japan and China to restructure debt baguio
  
  Rathis Supiksa, 7, who has both blood and bone cancer in her leg, sits on a table in a communal kitchen while her aunt cooks food (Reuters)Enjoying some lunch on a bed at a cancer care transit home near Apeksha Hospital (Reuters)Periyathambi Rathis gives water to his daughter Rathis Supiksa (Reuters)In September, the country entered a preliminary agreement with the International Monetary Fund (IMF) for a $2 baguio
  
  9 billion bailout but has to put its huge debt burden on a sustainable track before disbursement can begin baguio
  
  The economic hardship remains crushing for many baguio
  
  Sathiyaraj Silaksana 27, has come to visit her five-year-old son S Saksan suffering from leukemia, travelling 217 miles with her husband to feed him baguio
  
  “Due to the current crisis in Sri Lanka, we are facing severe problems in transport and food,” said Silaksana, who is pregnant with her second child baguio
  
  Sathiyaraj Silaksana cries as her husband Kesakarasa Sathiyaraj hugs their son, S Saksan (Reuters)“I have no option but to pay for my son’s needs baguio
  
  My husband, is a construction worker baguio
  
  In order to pay for all these expenses we pawned our jewellery baguio
  
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