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H: the heroin derivative ravaging Ecuador’s poor

Photo: MARCOS PIN / AFP

January 20 | By AFP | Karla Pesantes |

Shaking and delirious, Rina ambles half-dressed beside a dump in Ecuador’s port city of Guayaquil.

She is under the psychotropic effects of “H,” a cheap and addictive drug that is ravaging the poorest sectors of Ecuadoran society.

The scene was captured on video on New Year’s Eve and relayed to the municipal health center, which came to her aid.

“When I consume (the drug) I hear voices,” the 24-year-old, who is using a pseudonym, told AFP.

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For the second time in less than a year she is following a drug rehabilitation program.

In her desperation, Rina stole and even worked as a prostitute to buy H, a heroin-based white powder that can be snorted or smoked and is sold for $1 a gram.

It is much cheaper and much more toxic than cocaine, which goes for $3 to $5.

H is cut with all sorts of toxic materials that can harm humans.

“We have found lime, cement, ether, rat poison and even ketamine, an analgesic used on horses,” in the white powder, said psychiatrist Julieta Sagnay, from the Guayaquil-based Neuroscience Institute, an NGO that supports drug addicts.

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Guayaquil, a city of almost three million people, has become a hub of drug trafficking and addiction.

Officials say 162 kilograms of H were seized in 2022.

Sagnay, an expert with more than 30 years of experience treating addicts, says the number of patients she treats for H use is increasing every day.

And their physical condition deteriorates quicker than other patients.

In just six months, H addicts are constantly moving their legs, scratching, and not sleeping or eating.

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Withdrawal symptoms are so severe, says Sagnay, that it is unbearable without at least eight days of pharmaceutical treatment.

‘They beat me’

There are three public clinics in Guayaquil for addicts and there are more than 30 private ones but they can cost up to $700 a month in a country where the minimum wage is just $450.

Some addicts turn to back-alley detox centers.

“They beat me, they poured a bucket of cold water on me and we ate chicken heads every day,” said Hugo Mora, who was treated four years ago in a dirty, dark, illegal center with no windows.

It only cost $150 but it was a failure.

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After trying out two such clinics, the 24-year-old street vendor spent a week in a municipal hospital, where he was treated in a large room with more than a dozen beds.

The hospital takes in up to 150 daily patients, 90 percent of whom are suffering from an H addiction.

The InSight Crime think tank says H arrived in Guayaquil in 2011, pushed by Colombian cartels hoping to develop the heroin market.

But the H powder contains less than three percent heroin, according to forensic psychologist and retired police officer Segundo Romero.

“As there is so little pure drug, the addict needs to consume more and buy more,” said the forensic psychologist.

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He told a story about meeting addicts in prison whose faces were covered in dust.

“As they no longer had any drugs, they had scratched the walls and put white paint in their nostrils,” he said.

With just one gram of heroin, a dealer can make 40 grams of H, with the mix of ingredients provoking psychotic symptoms and hallucinations.

In Cerro las Cabras, the drug supermarket in Duran, a town opposite Guayaquil along the Guayas river, H sales bring in $1 million a month, according to official estimates.

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International

Oil prices surge again as Middle East tensions persist

Oil prices climbed again on Friday for a second consecutive session, as markets remained concerned about a prolonged conflict in the Middle East with no tangible diplomatic progress.

North Sea Brent crude for May delivery rose 4.22% to close at $112.57 per barrel.

Meanwhile, U.S. West Texas Intermediate (WTI) approached the $100 mark, settling at $99.64, up 5.46%.

The decision by U.S. President Donald Trump to delay by ten days his ultimatum for the reopening of the Strait of Hormuz failed to reassure market participants.

“It means there will be ten additional days of disruptions in the Middle East for crude and refined product flows,” said Andy Lipow, of Lipow Oil Associates.

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“For prices to come down, a resolution to the conflict is necessary,” Lipow added. “And even in the event of a ceasefire, it is not certain that Iran would allow oil shipments to pass through the Strait of Hormuz.”

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Young Spanish Woman Receives Euthanasia After Legal Battle, Sparking Debate

A 25-year-old Spanish woman, Noelia Castillo, received euthanasia on Thursday following a prolonged legal dispute with her father.

She passed away at a care center in Sant Pere de Ribes, about 40 kilometers from Barcelona, where she had been living for some time, according to Spanish media reports.

In an interview broadcast a day earlier on Antena 3, Castillo expressed her exhaustion after enduring prolonged suffering. She indicated that her decision was influenced by a combination of personal circumstances and health-related challenges, including family conflicts and a condition of paraplegia following a previous incident that left her with lasting physical consequences.

Spain legalized euthanasia in 2021, becoming one of the few countries that allow patients under strict conditions to seek medical assistance to end their lives in order to avoid what the law defines as unbearable suffering.

The case has reignited debate in Spain over the ethical, legal, and family dimensions surrounding euthanasia, as well as the broader issue of support for individuals in vulnerable situations.

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Over 300 U.S. Troops Wounded Since Start of Iran Conflict, CENTCOM Says

More than 300 U.S. service members have been injured since the start of the conflict with Iran on February 28, the United States Central Command confirmed on Friday.

“Since the beginning of Operation Epic Fury, approximately 303 U.S. service members have been wounded. The vast majority of these injuries are minor, and 273 troops have already returned to duty,” said U.S. Navy Captain Tim Hawkins.

A U.S. official, speaking on condition of anonymity to AFP, indicated that 10 American troops remain seriously injured.

According to the latest figures, an additional 13 U.S. service members have been killed since the conflict began, including seven in the Gulf region and six in Iraq.

Meanwhile, Iran’s armed forces warned on Friday that hotels hosting U.S. troops in the region could be considered legitimate military targets.

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“When U.S. forces enter a hotel, from our perspective that hotel becomes American,” said armed forces spokesperson Abolfazl Shekarchi in remarks broadcast on state television.

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