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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

Luigi Mangione Pleads Guilty to Killing UnitedHealthcare CEO Brian Thompson

Luigi Mangione admitted Friday to fatally shooting Brian Thompson, the CEO of UnitedHealthcare, the largest health insurance group in the United States, during an appearance before a federal judge.

The case shocked the U.S. business community and dates back to December 2024, when Mangione opened fire on Thompson, 50, on a Manhattan street. Prosecutors have described the attack as being motivated by Mangione’s opposition to the U.S. health insurance system.

“On the morning of December 4, I shot Mr. Thompson in Manhattan and he died,” Mangione said as he pleaded guilty to a federal stalking charge related to his pursuit of the executive.

Mangione, 28, is scheduled to be sentenced on December 18, and prosecutors have indicated that they will seek a life sentence.

In addition to the federal charges related to stalking Thompson, Mangione also faces a murder case brought by the state of New York.

Following his guilty plea in federal court, Mangione’s defense asked a state court to dismiss the state charges, arguing that prosecuting him again for the same conduct would violate protections against double jeopardy.

“We have just filed our motion in state court to explain why the charges should be dismissed under New York’s protections against double jeopardy,” Mangione’s attorney, Karen Friedman Agnifilo, said Friday.

Both the federal and state cases could result in a life sentence. Two other federal charges that initially carried the possibility of the death penalty were dismissed by a judge earlier this year.

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International

ICE Plan to Equip Agents With Electric Shock Gloves Raises Abuse Concerns

Plans to equip U.S. immigration agents with gloves capable of delivering electric shocks are raising concerns over potential abuses by a law enforcement agency that critics accuse of using excessive force and providing inadequate training to its personnel.

The plan involves the potential purchase of electric-shock gloves for agents with U.S. Immigration and Customs Enforcement (ICE), the agency primarily responsible for carrying out President Donald Trump’s campaign to deport millions of undocumented immigrants.

Democratic Representative Maxwell Frost criticized the proposal on X, arguing that the agency has already faced accusations of excessive force during immigration enforcement operations.

“As if assaulting and shooting people in the streets wasn’t enough,” Frost wrote. He also criticized the reported $20 million potential expenditure on the devices and called for greater restrictions on ICE.

The agency has faced growing scrutiny following a series of deadly shootings during immigration enforcement operations. Among the incidents were the deaths of two U.S. citizens in Minnesota in January who were participating in protests against the agency.

Critics have focused on the tactics used by ICE agents when detaining immigrants, as well as allegations that training standards for newly recruited personnel have been lowered.

According to a procurement plan first reported by the Associated Press, the Department of Homeland Security (DHS), which oversees ICE, could spend between $10 million and $20 million on the devices.

The gloves are described by the agency as tools intended for “distraction and de-escalation,” rather than lethal weapons. The system, known as GLOVE, stands for “Generated Low-Output Voltage Emitter.”

The device is manufactured by Compliant Technologies, a Kentucky-based company that describes its products as advanced non-lethal tools designed to protect and assist law enforcement and other personnel.

The proposal comes amid an intensifying national debate over ICE’s enforcement methods and the use of force during the Trump administration’s immigration crackdown.

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International

Three U.S. Executions Set for Same Day as Trump Pushes to Expand Death Penalty

The death penalty has been abolished in 23 of the 50 U.S. states, while three others —California, Oregon and Pennsylvania— currently have moratoriums in place.

The United States is set to carry out three executions on the same day, a rare occurrence that has not happened since 2010, according to the nonprofit Death Penalty Information Center.

President Donald Trump has sought to expand the use of capital punishment for what he describes as “the most heinous crimes.” In April, the Department of Justice proposed expanding execution methods to include firing squads, lethal gas and electrocution.

Tennessee is scheduled to execute Anthony Darrell Dugard Hines, 66, on Thursday. He was sentenced to death for the 1985 murder of a woman, according to local media.

In Oklahoma, Carlos Cuesta-Rodríguez, 70, is scheduled to be executed for a 2003 murder.

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Meanwhile, Alabama plans to execute Jeremy Williams, 42, who was sentenced to death for the rape and murder of a five-year-old girl.

The United States carried out 47 executions in 2025, the highest number since 2009, when 52 executions were recorded.

Florida conducted the largest number of executions last year, with 19, followed by Alabama, South Carolina and Texas, with five each.

Of the executions carried out in 2025, 39 were conducted by lethal injection. Three were carried out by firing squad and five through nitrogen hypoxia, a method that involves forcing nitrogen gas into a face mask, depriving the prisoner of oxygen.

The United Nations has condemned nitrogen gas as a cruel and inhumane method of capital punishment.

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