International

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.

20260330_renta_mh_728x90

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.

20260330_renta_mh_728x90

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.

20260330_renta_mh_728x90

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.

20260330_renta_mh_728x90

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.

20260330_renta_mh_728x90

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.

20260330_renta_mh_728x90

International

Spain rebukes U.S. over euthanasia case as minister defends legal framework

Spain’s Minister of Health, Mónica García, on Wednesday responded to the administration of U.S. President Donald Trump after reports that Washington requested an investigation into the euthanasia case of Spanish citizen Noelia Castillo.

The minister questioned the U.S. government’s stance and urged it not to interfere in matters governed by Spain’s legal and healthcare framework. “Stop fueling an international ultra agenda by meddling everywhere,” García wrote in a message on the social platform X.

In her remarks, García also criticized the U.S. healthcare system, noting that thousands of people die each year without access to medical coverage. She further accused the Trump administration of supporting actions that undermine human rights in international contexts.

García defended the legality of euthanasia in Spain, emphasizing that the procedure is strictly regulated and subject to medical and judicial oversight. “Spain is a serious country, with a strong healthcare system and a legal framework that protects individuals, including those who choose to seek assistance in dying under regulated conditions reviewed by clinical committees and upheld by the courts,” she said.

The case of Noelia Castillo, a 25-year-old woman living with paraplegia, drew widespread attention following a legal dispute with her father, who opposed her decision to undergo euthanasia. The procedure was ultimately carried out in accordance with Spanish law.

20260330_renta_mh_728x90

International

New York City lifts TikTok ban on government devices under new security rules

New York City has lifted its ban on TikTok on government-owned devices, allowing city agencies to resume posting on the platform under newly established security protocols, Mayor Zohran Mamdani announced Tuesday.

The initial ban, implemented in 2023 by former mayor Eric Adams, aligned with federal and state-level restrictions across the United States, which limited the use of TikTok on official devices over concerns related to its parent company, ByteDance. The company has previously denied these concerns, calling them unfounded.

Under the updated guidelines issued by the city’s Cyber Command, devices designated for TikTok use by government agencies must not store or access sensitive information. Officials indicated that the policy shift is intended to enhance communication with residents.

“The Mamdani Administration is committed to using every tool in our toolbox to communicate with New Yorkers,” the mayor’s office said in a statement.

Following the announcement, the mayor’s official TikTok account resumed activity after remaining inactive since the ban was first enforced.

20260330_renta_mh_728x90

International

Rubio signals possible engagement with Iranian factions amid internal divisions

U.S. Secretary of State Marco Rubio said Monday that Washington is hopeful of engaging with factions within the government of Iran, noting that the United States has received positive private signals.

Speaking to ABC News’ Good Morning America, Rubio suggested that internal divisions exist within the Islamic Republic and expressed confidence that figures with the authority to act could emerge.

“We are hopeful that this will be the case,” Rubio said. “Clearly, there are people there who are communicating with us in ways that those previously in power in Iran did not. This is reflected in some of the steps they appear willing to take.”

Despite this, Rubio maintained a firm stance toward Iran, reiterating that the ongoing conflict seeks to eliminate its capacity to develop nuclear weapons—an objective that President Donald Trump has previously claimed was achieved during a military strike last year.