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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

U.S. to Limit Visa Duration for Foreign Students and Journalists

The United States has announced new limits on the legal length of stay for foreign students and journalists, marking the latest tightening of immigration policies under President Donald Trump.

The changes, outlined in an administrative rule published on Thursday, are expected to take effect in September, unless Congress blocks the measure.

Under the new policy, holders of student visas will be allowed to remain in the United States for no more than four years.

Foreign journalists will be limited to 240-day stays—approximately eight months—with the possibility of applying for extensions of the same duration.

The policy imposes even stricter rules on Chinese journalists, whose visas will be capped at 90 days.

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More than 100 international news organizations and press freedom groups, including Agence France-Presse (AFP), criticized the measure in an open letter, arguing that it would reduce both the quantity and quality of international coverage of events in the United States.

The Republican Party, led by President Trump, currently holds a majority in Congress and has pledged to curb both illegal immigration and certain forms of legal immigration.

Previously, the United States generally issued student visas for the full duration of an academic program, while foreign journalists could receive visas valid for up to five years.

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Central America

Nicaragua Cuts Diplomatic Ties With Italy Over Red Brigades Dispute

The Nicaraguan government announced on Thursday that it is severing diplomatic relations with Italy following criticism from the Italian government over Nicaragua’s long-standing decision to shelter Alessio Casimirri, a former member of the Red Brigades convicted in Italy for the 1978 kidnapping and murder of former Prime Minister Aldo Moro.

Italian Foreign Minister Antonio Tajani criticized the administration of co-presidents Daniel Ortega and Rosario Murillo on Wednesday for continuing to provide refuge to Casimirri, who was sentenced in Italy to six life terms for his role in Moro’s abduction and killing.

In a statement issued Thursday, Nicaragua’s Foreign Ministry said it was ending all diplomatic relations with Italy, describing Tajani’s remarks as “unjustified, aggressive, and irresponsible.”

Tajani made the comments during a gathering of conservative leaders from Europe and Latin America held in Madrid.

“We have absolutely nothing in common with the positions of extremist governments such as Nicaragua, a country that continues to harbor dangerous Red Brigades terrorists like Alessio Casimirri,” Tajani said, according to Italian media.

The diplomatic break marks a new escalation in tensions between the two countries over the decades-old case involving Casimirri, who has lived in Nicaragua for many years despite repeated calls from Italy for his extradition.

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International

U.S. Strikes Hit Areas Near Strait of Hormuz as Tensions With Iran Escalate

Several U.S. strikes targeted areas near the Strait of Hormuz on Thursday, according to Iranian state media citing local authorities, as hostilities between the United States and Iran intensified.

Officials in Iran’s Hormozgan Province said the island of Qeshm was struck multiple times by what they described as U.S. missiles during the evening. The reports were carried by the Iranian news agencies Fars and Tasnim.

Iranian state television also reported that the Bandar Abbas region, located on the Iranian coast overlooking the Strait of Hormuz, was the target of what authorities described as an “enemy U.S. air attack.”

According to local officials quoted by state television, no casualties have been reported following the strikes.

The reported attacks come amid renewed military tensions between Washington and Tehran, although U.S. authorities had not immediately commented on the reported operations.

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