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North American transit chiefs braced for ultimate World Cup challenge after backlash over spiraling costs

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The 2026 World Cup is poised to be a monumental event for North American ground transportation, offering rail and bus operators a critical audition on soccer’s biggest stage.

With 104 matches spread across 16 cities in the United States, Mexico and Canada, and air travel increasingly fraught with rising costs, soaring gasoline prices, and frustratingly long airport security lines, these companies are gearing up to capture the attention of a vast new audience.

“We want you to be able to use our system seamlessly from the minute you decide to come to the World Cup, all the way into the games, and after that to get home,” stated Conan Cheung, chief operations officer for LA Metro, the public transportation authority serving the Los Angeles region.

For the Californian city, which will host eight matches including the U.S. opener, the event presents a unique opportunity to demonstrate to international visitors that it offers more than just congested freeways. It also aims to encourage more local Angelenos to utilize its expanding public transport network, Cheung added.

This ambition resonates with public transport advocates in the US and Canada, where shared transit infrastructure can be scarce and residents often prefer their cars.

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Conan Cheung has addressed the challenges transit operators will face at the World Cup
Conan Cheung has addressed the challenges transit operators will face at the World Cup (Getty)

Yonah Freemark, a principal research associate at the Washington-based Urban Institute, highlighted this opportunity: “Transit providers have an opportunity to provide service to a group of people who do not typically use transit on a day-to-day basis. Many of the World Cup fans coming from the US or Canada do not necessarily use transit services regularly.”

Freemark emphasized the high stakes for operators to deliver a positive experience for riders.

“They should be making sure that the services they provide are high quality and not too expensive, because the people who are riding them are going to form an impression of those transit agencies — and there’s a chance to really prove that they can provide a good service.”

However, ground operators face a tricky balancing act. Many contend with limited capacity, meaning potential customers might struggle to find space on match days. While the surge in airline costs offers a rare chance to draw travelers to rails and roads, these companies are also battling rising fuel expenses, which may necessitate passing some costs onto consumers.

This creates a dilemma, as Freemark noted: operators want to attract new customers without alienating the everyday commuters and regular users who depend on these services long after the final whistle.

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FlixBus, alongside its sister brand Greyhound, boasts one of North America’s largest transportation networks. The company reports strong demand for bus travel between tournament cities, with some departures already sold out and others filling rapidly.

In preparation for the World Cup, FlixBus has made significant investments in new buses and cutting-edge technology, while also prioritizing on-time departures and arrivals.

“What is critical here is every Flix experience needs to be a happy one. That’s how we actually grow our business. And this is a great opportunity,” said Flix North America CEO Kai Boysan. “We will welcome all the new customers and we want them to see what a change we’ve done and what a great experience they’re going to have.”

Boysan suggested that travelers might favor buses over planes due to their typically more affordable and direct routes between city centers. “Airports are congested and the costs are rising. And clearly travelers are naturally looking for alternatives. And there we come into effect,” he explained.

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Chuck Schumer called for Fifa to intervene and cover transport costs
Chuck Schumer called for Fifa to intervene and cover transport costs (Getty)

Yet, not all ground transportation options are proving affordable. NJ Transit drew unwanted attention this year when it initially announced that the approximately 30-minute train ride from Manhattan to the New Jersey stadium, which will host eight matches including the July 19 final, would cost $150 for the round-trip. It’s a journey that typically costs less than $13.

NJ Transit says it needs to cover $48 million in extra costs for security, crowd control and other World Cup impacts.

After much outrage, NJ Transit reduced the fare to a still hefty $98, saying it had managed to find more advertising to cover its costs. Meanwhile, a shuttle bus on the same route has been chopped to $20 from the originally announced $80 as the host committee turned to local school buses to increase seats.

In Boston, round-trip rail tickets from the city center to the stadium used for seven World Cup matches will cost $80, compared to the usual $20 to $30. A bus ride will be $95.

US Senator Chuck Schumer, a New York Democrat, urged Fifa to intervene.

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“Charging more than 11 times the normal fare for a train ride is a ripoff, plain and simple. Fifa is making billions from this World Cup,” Schumer stated after the original price for the New Jersey MetLife Stadium route was announced.

“Fifa should cover the ride, not stick New York fans with the bill.”

Fifa, however, responded that high transit fares would prompt fans to seek alternative travel methods, and that similar past events have not led to demands for organizations to provide travel impact funding.

In contrast, some local operators are maintaining standard pricing.

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“Our regular fare is $1.75, so people will be able to pay that,” said LA Metro’s Cheung, confirming they would honor all existing discounts.

Philadelphia, hosting six matches, offers fans a $2.90 train ride to the match, with a complimentary return journey courtesy of sponsor Airbnb. US national rail carrier Amtrak is also preparing for inter-city fan travel.

“We are fully committed to running a world-class railroad … and ensuring our infrastructure is ready to accommodate new and returning guests,” said W. Kyle Anderson, director of communications for Amtrak.

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Ebbsfleet Healthy New Town celebrates the opening of the Weldon Wellbeing Pavilion

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By Kath Hudson    16 Jun 2026

The £13 million Weldon Wellbeing Pavilion has opened in Kent

Charitable trust Freedom Leisure will operate it on behalf of Ebbsfleet Garden City Trust

The site features a state-of-the-art 3G pitch, a gym, courts, and a community hall

Freedom Leisure and Ebbsfleet Garden City Trust have opened the £13 million Weldon Wellbeing Pavilion – a new community wellbeing and sports facility.

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Weldon Wellbeing Pavilion offers a gym and group exercise studio, netball and tennis courts and a 3G pitch, alongside a versatile community hall, that will enhance opportunities for grassroots sport, physical activity and wellbeing initiatives within the growing Ebbsfleet Garden City community.

Ebbsfleet Development Corporation (EDC) worked alongside Redrow, Ebbsfleet Garden City Trust and Freedom Leisure to support delivery of the facility. Sara Waller, CEO of Ebbsfleet Development Corporation said: “Facilities like this matter because they turn new neighbourhoods into places where people can genuinely live well. That is what long-term placemaking is about, and it is what we are committed to delivering across Ebbsfleet.”

Ivan Horsfall Turner, CEO of charitable trust, Freedom Leisure, which will operate the Pavilion says: “At Freedom Leisure, we are passionate about creating opportunities for people of all ages and abilities to be active, improve their wellbeing and connect with others. This fantastic new facility provides a welcoming space where residents, schools, clubs and community groups can come together and we look forward to supporting the health and wellbeing of the Ebbsfleet community for many years to come.”

FOOTNOTE

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  • Ebbsfleet is one of a number of healthy new towns being built in the UK. Find out more in HCM’s sister magazine, CLADmag – here on desktop and here on mobile. NB, the UK government has reduced the original list of 12 new towns to seven, however, the principles remain the same. The locations are: Tempsford in Bedfordshire, Crews Hill and Chase Park in Enfield, Leeds South Bank in West Yorkshire, Victoria North in Greater Manchester, Thamesmead in Greenwich, Brabazon and the West Innovation Arc in South Gloucestershire and Milton Keynes in Buckinghamshire

    Sites originally proposed in Plymouth, Adlington in Cheshire, Heyford Park in Oxfordshire, Marlcombe in East Devon and Worcestershire Parkway, Wychavon will not be developed into new towns, but may continue to get support through existing housing programmes.

  • Somerset Council has recently awarded an interim two-year contract to Freedom Leisure to operate leisure centres in the East of Somerset – the Mendip area – after the previous operator, Fusion Lifestyle, went into administration. The new contract will run from 1 July 2026 for the following facilities:
  • Frome Leisure Centre
  • Strode Swimming & Fitness (Street)
  • Shepton Mallet Lido
  • Tor Sports & Leisure Centre (Glastonbury)
  • Wells Leisure Centre

3. Freedom Leisure has also been investing in solar energy as part of a decarbonisation and energy efficiency programme. It has recently invested in 600 solar PV panels for the LC Leisure Centre in Swansea  which will power everything from the showers, to the lighting and heat the swimming pool. SolarSense did the installation and the costs were covered with support from Sport Wales and Swansea Council.

Daylight and wood panelling feature in the indoor cycling studio / Freedom Leisure

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Tyson Fury says he’d only fight Moses Itauma under one condition

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Moses Itauma is expected to be a major force in the heavyweight division, but whether he will get the chance to announce himself with a fight agains the likes of Tyson Fury, Oleksandr Usyk or Anthony Joshua remains to be seen.

In his last two fights, Itauma has bettered performances of Fury and ‘AJ’, halting Dillian Whyte in the opening round of their fight three years after he lasted six rounds with Fury, and dispatching of Jermaine Franklin within five rounds, three years after the American went the distance with Joshua.

Those triumphs have thrust Itauma up the rankings, where he is now positioned as the WBO mandatory challenger, poised for a shot at the victor of Daniel Dubois and Fabio Wardley’s anticipated rematch should his team decide on that route.

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However, should the youngster wish to face the old guard and take on Fury, the latter told iFL TV that any offer needs to be a lucrative one.

“Nothing, but obviously money [would tempt me to fight Itauma]. For sure, I am a prizefighter, show me the money and I will do the job, but at the end of the day, if there is no big money involved, what is the point? He doesn’t have a belt, he doesn’t have nothing, what is it for?”

“I don’t need to fight f***ing kids, do you know what I mean? Listen, Moses is a good kid, he is a great boxer and everything, brilliant, but unless its going to big money, why would I want to fight Moses for f**k all?”

Fury then went on to praise the talent of his fellow Queensberry heavyweight, admitting that Itauma ‘is definitely the real deal’ after regularly sparring the Kent-based sensation.

“I have had Moses in four or five camps and he is a good kid. Good puncher, good speed, good boxing IQ, he listens, which is very important, he takes it all on board and he is a good learner, as well.

“He has got speed and athleticism, he is definitely the real deal, if he wasn’t then I would say, but don’t forget that I am the one who has gassed him up for the last four years!”

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Fury will return to action this summer, with another recent sparring partner in Nelson Hysa said to be one of the leading options for the away corner.

As for Itauma, an announcment is expected soon for his own August bout, with Filip Hrgovic still the frontrunner.

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De Bruyne and Salah take centre stage in epic Belgium vs Egypt clash | FIFA World Cup 2026

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Two of football’s biggest modern icons, Kevin De Bruyne and Mohamed Salah, will headline one of the most anticipated matches of the opening week of the FIFA World Cup 2026 when Belgium take on Egypt in their Group G opener at Seattle Stadium on Tuesday, June 16.

 


The clash could have a significant bearing on the final group standings. Belgium and Egypt are widely viewed as the strongest teams in Group G, which also includes Iran and New Zealand, making this encounter a potential battle for top spot and a favourable path into the knockout rounds.

 

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Yet, with several underdogs already troubling established powers at the tournament, neither side can afford to take qualification for granted. A victory would not only provide a crucial three points but also ease the pressure ahead of tricky fixtures later in the group stage, where any slip-up could prove costly.

 


Egypt looking to end 92-year wait


Egypt arrive at the tournament carrying the weight of history. Despite being one of Africa’s most successful football nations with seven Africa Cup of Nations titles, the Egyptian side has never won a match at the FIFA World Cup.

 

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Their previous appearances in 1934, 1990 and 2018 produced two draws and five defeats, leaving them still searching for a first victory on football’s biggest stage. The 2026 tournament presents another opportunity to break that unwanted record and potentially reach the knockout rounds for the first time.

 


Head coach Hossam Hassan believes his side has the quality to compete with Belgium and challenge for qualification, particularly with experienced stars such as Salah, Marmoush and Trezeguet leading the attack.

 

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Egypt’s full squad for FIFA World Cup 2026: Mohamed El Shenawy, Yasser Ibrahim, Mohamed Hany, Hossam Abdelmaguid, Ramy Rabia, Mohamed Abdelmonem, Trezeguet, Emam Ashour, Hamza Abdelkarim, Mohamed Salah, Mostafa Ziko, Haissem Hassan, Ahmed Fatouh, Hamdy Fathy, Karim Hafez, El Mahdy Soliman, Mohanad Lasheen, Nabil Emad, Marwan Attia, Ibrahim Adel, Mahmoud Sabre, Omar Marmoush, Mostafa Shobeir, Tarek Alaa, Zizo, Mohamed Alaa. 
Check all the live updates of the Spain vs Cabo Verde match in the FIFA World Cup 2026 here


Belgium looking for another strong start


Belgium enter the tournament as favourites to top Group G despite no longer possessing the depth that defined their golden generation.

 


The Red Devils endured a disappointing group-stage exit at the 2022 World Cup and are eager to make amends in North America. Coach Rudi Garcia has repeatedly stressed the importance of starting with a victory against Egypt in what is widely viewed as the key match in the group.

 

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Belgium remain packed with elite-level experience. Thibaut Courtois is among the world’s best goalkeepers, Romelu Lukaku continues to lead the line, while De Bruyne remains one of football’s finest creators. Emerging talents such as Jeremy Doku and Charles De Ketelaere add pace and unpredictability to the attack.

 


Belgium’s full squad for FIFA World Cup 2026: Thibaut Courtois, Zeno Debast, Arthur Theate, Brandon Mechele, Maxim De Cuyper, Axel Witsel, Kevin De Bruyne, Youri Tielemans, Romelu Lukaku, Leandro Trossard, Jeremy Doku, Senne Lammens, Mike Penders, Dodi Lukebakio, Thomas Meunier, Koni De Winter, Charles De Ketelaere, Joaquin Seys, Diego Moreira, Hans Vanaken, Timothy Castagne, Alexis Saelemaekers, Nicolas Raskin, Amadou Onana, Nathan Ngoy, Matias Fernandez Pardo.


FIFA World Cup 2026: Belgium vs Egypt predicted starting 11


Belgium starting 11 (probable): Courtois; Meunier, Mechele, Ngoy, Castagne; Onana, Tielemans; Trossard, De Bruyne, Doku; De Ketelaere.

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Egypt starting 11 (probable): Shobeir; Hany, Abdelmonem, Ibrahim, El Fotouh; Lasheen, Attia; Salah, Ashour, Trezeguet; Marmoush.


Belgium vs Egypt: Head-to-head numbers


  • Total meetings: 4

  • Egypt wins: 2

  • Belgium wins: 2

  • Draws: 0

  • Last meeting: Egypt 2-1 Belgium (International Friendly, November 2022)


Recent meetings:


  • Egypt 2-1 Belgium (2022)

  • Belgium 3-0 Egypt (2018)

  • Egypt 4-0 Belgium (2005)

  • Belgium 2-1 Egypt (1999)


Salah vs De Bruyne: The biggest battle in the game


Few World Cup opening matches can boast a duel as compelling as Mohamed Salah versus Kevin De Bruyne. Both players are regarded among the finest footballers of their generation and remain the undisputed leaders of their respective national teams despite entering the latter stages of their careers.

 


Salah arrives at the tournament as Egypt’s captain, all-time leading scorer and biggest hope of finally guiding his side beyond the group stage. The former Liverpool star was instrumental in qualification and remains Egypt’s most dangerous attacking weapon thanks to his pace, finishing and ability to deliver in decisive moments.

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De Bruyne, meanwhile, remains the creative force behind Belgium’s attack. The midfielder has been the heartbeat of Belgium’s golden generation for more than a decade and enters another World Cup determined to lead his country on a deep tournament run. His vision, passing range and ability to create chances from seemingly impossible situations make him one of the most influential midfielders in football history.

 


While Salah will be tasked with finishing Egypt’s opportunities, De Bruyne will be responsible for creating Belgium’s. Their individual brilliance has the potential to swing the contest in their team’s favour, making this battle between two modern greats one of the headline attractions of the opening round of the FIFA World Cup 2026.

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Other big names to look out for in Belgium vs Egypt clash


Apart from Salah and De Bruyne, several other stars could have a major influence on the contest.

 


Romelu Lukaku (Belgium)

 

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Romelu Lukaku remains Belgium’s most reliable source of goals heading into the World Cup. The veteran striker is the nation’s all-time leading scorer and continues to deliver in major tournaments.

 


His strength, aerial ability and clinical finishing make him a constant threat inside the penalty area. Against Egypt, Belgium will look to Lukaku to convert chances and provide the decisive moments needed to secure victory.

 

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Jeremy Doku (Belgium)

 


Jeremy Doku brings a different dimension to Belgium’s attack with his electrifying pace and fearless dribbling. The winger thrives in one-on-one situations and has the ability to break open tightly contested matches.

 

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His direct running can force defenders into mistakes and create space for team-mates. If Belgium struggle to break down Egypt’s defence, Doku’s creativity and unpredictability could prove invaluable.

 


Thibaut Courtois (Belgium)

 

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Thibaut Courtois remains one of the finest goalkeepers in world football and a key figure in Belgium’s squad. His shot-stopping ability, command of the penalty area and vast tournament experience provide confidence to the entire team. In World Cup football, goalkeepers often determine results in close matches.

 


Courtois’ ability to make crucial saves could be vital against Egypt’s dangerous attack.

 

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Omar Marmoush (Egypt)

 


Omar Marmoush has developed into one of Egypt’s most important attacking players and offers the perfect complement to Mohamed Salah. His pace, intelligent movement and finishing ability make him a constant danger on the counterattack.

 

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Marmoush ensures opponents cannot focus solely on Salah, creating a more balanced attack. His partnership with Egypt’s captain could be crucial in unlocking Belgium’s defence.

 


Trezeguet (Egypt)

 

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Trezeguet brings valuable experience and leadership to Egypt’s World Cup squad. Having represented his country in multiple major tournaments, he understands the demands of performing on football’s biggest stage.

 


The versatile attacker contributes both offensively and defensively through his work rate and commitment. His experience can help guide younger team-mates, while his knack for scoring important goals remains a major asset.

 

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Mohamed El Shenawy (Egypt)

 


Mohamed El Shenawy will play a crucial role in Egypt’s hopes of making a strong start to the tournament. The captain is a commanding presence in goal and provides leadership throughout the team.

 

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His experience in high-pressure matches has made him one of Africa’s most respected goalkeepers. Against Belgium’s star-studded attack, El Shenawy’s saves could prove the difference between success and defeat.

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Belgium vs Egypt Highlights FIFA World Cup 2026: Romelu Lukaku Helps Belgium Salvage A Point Against Egypt

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BEL vs EGY FIFA World Cup 2026 Match Highlights© AFP




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Belgium vs Egypt Highlights, FIFA World Cup 2026 Updates: Romelu Lukaku made an instant impact after coming on as a second-half substitute as Belgium rescued a 1-1 draw against Egypt in their FIFA World Cup Group G clash in Seattle. Belgium trailed the African side at the break after Emam Ashour had put Egypt ahead in the 20th minute, following a clever pass from Mohamed Salah. However, Lukaku, seconds after coming on, forced an own goal from Mohamed Hany to put Belgium on level terms. Earlier, Kevin De Bruyne hit the post with a free-kick before Thibaut Courtois denied Mohamed Salah with a point-blank save.


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Iran vs New Zealand LIVE Score | FIFA World Cup 2026 IRN vs NZL Match LIVE Updates: Indian-Origin Player Named In New Zealand’s Starting XI vs Iran

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Iran vs New Zealand LIVE Score, FIFA World Cup 2026 Match Updates: Iran and New Zealand are set to clash for the first time at a FIFA World Cup when they meet in the Group G opener at the Los Angeles Stadium on Tuesday. Both dazzled in qualification, with Iran losing only one game in a 16-match saunter to what will be a seventh outing at the global showpiece. New Zealand reached a World Cup on the back of a flawless campaign in Oceania, where they won all five matches, scoring 29 goals and conceding just the once. Iran are heading to a seventh FIFA World Cup (1978, 1998, 2006, 2014, 2018, 2022, 2026), looking to reach the knockout stage for the first time. On the other hand, New Zealand have qualified for a third FIFA World Cup (1982, 2010, 2026). After a difficult first foray at Spain in 1982, the All Whites’ next adventure was almost 28 days later in 2010 in South Africa. (Match Center Live)

Iran vs New Zealand LIVE Score, FIFA World Cup 2026 Match LIVE Updates:

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World Cup 2026: Uruguay held to draw by Saudi Arabia on day of surprises

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Saudi Arabia held two-time champions Uruguay to a 1-1 draw in their World Cup opener on Monday, four years after defeating future champions Argentina in their debut match in Qatar. Abdulelah Al Amri’s opener for ​the ‌Gulf nation was cancelled out ⁠by Maxi Araujo in a game where both sides ‌profited from goalkeeping errors.

The draw means the two teams are level in Group H with Spain and tournament newcomers Cape Verde, who earlier made history by holding off the European champions in their first ever appearance on football’s biggest stage.

Read moreDebutants Cape Verde hold European champions Spain to shock draw

The first half was ⁠dominated by Uruguay but Saudi Arabia took the lead against the run of ​play in the 41st minute ‌when Fernando Muslera made a costly error on a set-piece, parrying the ball into the ‌path of Al Amri who poked the ball past ​the veteran keeper.

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The majority of the second period was played in Saudi Arabia’s half as Uruguay ​frantically searched for an equaliser and ​their persistence paid off when ​goalkeeper Mohammed Al Owais also made an error when a ​save fell nicely for Araujo to fire home.

This page will be updated soon.

 

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Canadiens prospect Bryce Pickford named CHL Defenceman of the Year

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Bryce Pickford continues to rack up the hardware.

The Montreal Canadiens prospect was named the CHL’s Defenceman of the Year on Monday, adding to his trophy case after already winning WHL MVP and the league’s top blue-liner award last month.

The 20-year-old Pickford was captain of the Medicine Hat Tigers this season and scored 45 goals and 83 points, with a plus-55 rating. His 45 goals placed second in the WHL and are the most by a defenceman in the league through the last 38 years.

Pickford and the Tigers advanced to the third round of the WHL playoffs but lost to the Prince Albert Raiders in six games. He was the second consecutive member of the Tigers to take home WHL MVP after Gavin McKenna won the award in 2025.

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Montreal selected Pickford with the 81st overall pick in the 2025 NHL Draft.

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Karl-Anthony Towns Sings Jordyn Woods’ Praises Following NBA Finals Win

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NBA champion Karl-Anthony Towns is singing his finacée, Jordyn Woods‘, praises after his team’s electrifying win over the San Antonio Spurs. During the post-game press conference, Anthony Towns, often referred to as KAT, opened up about the key role Woods played in his life after the loss of his mother in April 2020.

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“No Bad Blood Between Atume and I”

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Abasiofon Uwah has spoken out after the controversy that followed the Nigeria Women’s Football League (NWFL) Super Six final day, where she was involved in a mix-up over the top scorer award.

Abasiofon Uwah of Rivers Angels and Atume Doosuur both finished the season with 13 goals each, but only one award portrait was initially presented, leading to tension between the two players.

In a statement released on Monday evening, Uwah explained her emotions at the time and admitted she could have handled the situation better.

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“To everyone who has reached out, thank you for caring, and I want to be honest with you,” she wrote.

She said her reaction was not out of anger towards her fellow striker, but because of what the award meant to her after a long season.

“Atume and I both gave everything this season to finish as joint top scorers. When only one award was presented, I held on, not out of anger, but because I had poured my heart into this season and that trophy represented every sacrifice I made,” she said.

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Uwah also admitted she reflected on her actions after the incident.

“Still, looking back, I could have handled that moment better, and I acknowledge that,” she added.

She was quick to clear any misunderstanding between her and Doosuur, stressing that there was no bad blood.

“There is no bad blood between Atume and I. We represent each other as players and as people,” she said.

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Uwah further confirmed that the issue had been resolved, as both players would now receive their awards.

“The league has done the right thing by ensuring we each receive our award, and I’m truly grateful for that,” she added.

She ended her message by dedicating her achievement to her teammates, coaches, and fans who supported her throughout the season.

Uwah, who captained Ibom Angels last season and won the Federation Cup top scorer award before joining Rivers Angels, was one of the standout performers in the NWFL Season.

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Global industry organisations join forces to call for physical activity to be embedded into GLP-1 care pathways

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By Kath Hudson    15 Jun 2026

Research shows the importance of strength training during GLP-1 weight loss / Shutterstock/Iam_Anuphone

International industry lobbying associations are calling for physical activity and strength training to be deeply integrated with GLP-1 treatment.

Five organisations – UK Active, the Health and Fitness Association, the HFA Foundation, AusActive, Exercise New Zealand and Fitness Industry Council of Canada – have joined forces following a multinational study which found that pairing GLP-1 therapy with regular structured exercise would improve long-term health outcomes, reduce downstream costs and generate positive economic returns across multiple countries. 

Developed by FTI Consulting’s Center for Healthcare Economics and Policy, the white paper From Weight Loss to Lasting Value: Structured Exercise and the Economics of GLP-1 Therapy compares impacts of GLP-1 therapy as a standalone obesity treatment with GLP-1 therapy combined with exercise. 

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Adding structured exercise to GLP-1 therapy can help patients preserve muscle during weight loss; maintain strength, mobility, and bone health; keep more weight off over time; reduce weight regain after stopping medication and lower the risk of costly health events later on. 

The trade associations are calling for structured exercise, including strength training, to be an essential part of obesity care and embedded into GLP-1 care models. They are also asking for patients to be supported to find qualified exercise professionals and fitness facilities and for referral pathways to be built between healthcare providers and qualified exercise professionals and fitness facilities and for outcomes beyond weight loss to be measured, such as long-term weight loss and economic value.

The analysis used a health-economic model adapted across Australia, Canada, New Zealand, the UK, and the United States. Across all five countries the analysis found that a combined approach supports improved long-term health outcomes, reduced healthcare costs, and produced positive economic returns. 

Greta Wagner, interim president and CEO of the Health and Fitness Association and president of the HFA Foundation, says: “The health and fitness industry has long known that lasting wellness requires more than a number on a scale, it requires strength, function, and sustainable healthy life habits.  

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“This research confirms that exercise, especially strength training, helps patients sustain the benefits of GLP-1 treatment over time.”  

Cameron Saunders, CEO of UK Active, says: “The evidence is clear and the bill for inaction is one that health systems cannot keep picking up. Our members are ready to be delivery partners – we have the facilities, the professionals and programmes to make it happen at scale.”  

In the UK, combining regular exercise with GLP-1 therapy could generate an estimated £2.7bn in economic and societal value over 10 years and a 164 per cent return on investment, rising to 717 per cent and £13bn over 30 years.

For the US, the economic and societal value over 10 years was estimated at US$120bn  and a 496 per cent return on investment, rising to 1,572 per cent and US$393bn over 30 years. 

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Estimates for Australia were A$182m in economic and societal value over 10 years and a 59 per cent return on investment, rising to 457 per cent and A$1.4bn over 30 years. 

Canada could expect to generate C$3.5bn in economic and societal value over 10 years and a 105 per cent return on investment, rising to 526 per cent and C$17.9bn over 30 years. 

For New Zealand: the figures were NZ$51m in economic and societal value over 10 years and a 27 per cent return on investment, rising to 306 per cent and NZ$592m over 30 years. 

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