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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

At Least Eight Dead and 19 Injured in Deadly Bus Crash in Veracruz, Mexico

A tragic bus accident in the eastern state of Veracruz left at least eight people dead and 19 others injured on Wednesday afternoon, according to local authorities.

The vehicle was traveling through the town of Zontecomatlán when it crashed near a ravine, state Civil Protection officials reported late Wednesday night. “Regrettably, the prosecutor’s office has confirmed eight fatalities,” the agency stated in an official release.

Emergency Response and Medical Care Rescue teams worked into the night to assist the survivors. The 19 injured passengers were stabilized at the scene before being transported to hospitals in the nearby municipalities of Chicontepec and Huayacocotla. While the identities of the victims have not yet been released, Mexican press reports indicate the bus was en route from Mexico City to Chicontepec.

A Recurring Issue on Mexican Highways Road accidents involving long-haul passenger buses and freight transport are a frequent occurrence in Mexico. Experts often cite excessive speed, mechanical failure, or driver fatigue as the primary catalysts for these tragedies.

This latest incident follows another major disaster in late November, where 10 people were killed and 20 injured in a similar bus crash in the western state of Michoacán. The recurring nature of these accidents continues to spark national debate regarding the enforcement of stricter safety regulations for commercial transport units.

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Jair Bolsonaro Hospitalized for Inguinal Hernia Surgery While Serving Sentence for Attempted Coup

Brazil: Court bans Bolsonaro from running in elections until 2030

Former Brazilian President Jair Bolsonaro, currently serving a 27-year prison sentence for an attempted coup, underwent surgery this Thursday for an inguinal hernia. The procedure took place at the DF Star Hospital in Brasilia, according to his wife, Michelle Bolsonaro.

The 70-year-old former leader left prison on Wednesday for the first time since his incarceration in late November to prepare for the operation. “My love has just gone to the surgical center,” Michelle Bolsonaro posted on Instagram, where she has been documenting her accompaniment during his hospitalization.

Surgical Expectations and Health History Medical professionals treating the far-right ex-president (2019-2022) anticipate the operation will last approximately four hours. His recovery period in the hospital is expected to extend between five and seven days.

Dr. Claudio Birolini explained on Wednesday that while the surgery is standardized, it remains complex due to the patient’s history. Bolsonaro continues to suffer from the long-term effects of a 2018 campaign rally stabbing, an injury that required several major abdominal surgeries in the years following the attack.

“There is no such thing as a simple surgery. However, this is a scheduled and standardized procedure, so we expect it to be carried out without major complications,” Dr. Birolini stated.

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Potential Additional Procedures Following the hernia repair, the medical team will evaluate whether Bolsonaro can undergo a second procedure: an anesthetic block of the phrenic nerve. This nerve controls the diaphragm, and the intervention would aim to resolve a chronic case of recurrent hiccups that has plagued the former president for years.

Bolsonaro remains under heavy security at the medical facility as he serves his lengthy sentence related to the events surrounding the January 2023 institutional crisis in Brazil.

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International

Trump Orders Construction of New ‘Golden Fleet’ to Revitalize U.S. Naval Superiority

President Donald Trump issued an executive order this Monday for the immediate construction of two new warships that will bear his name. These vessels will be the pioneers of what he described as the “Golden Fleet,” a future generation of “Trump-class” battleships that he claimed would be “100 times more powerful” than those currently in service.

The announcement took place at his private residence in Mar-a-Lago, Florida. The President indicated that following the initial two ships, the administration aims to commission up to 25 additional vessels. He is scheduled to meet with Florida-based contractors next week to expedite production, criticizing existing defense firms for failing to deliver results efficiently.

This naval expansion is a cornerstone of Trump’s goal to revitalized the American shipbuilding industry and address the strategic gap between the U.S. and competitors like China.

The move comes amid heightened geopolitical tension. Just last week, Trump ordered the seizure of all sanctioned tankers involved with Venezuela’s “ghost fleet” to cripple the country’s crude oil industry. Since December 10, the U.S. military—deployed in the Caribbean under the guise of counter-narcotics operations—has already detained two tankers linked to Venezuelan oil transport.

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