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.

20260212_constancia_pagos_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.

20260212_constancia_pagos_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.

20260212_constancia_pagos_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.

20260212_constancia_pagos_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.

20260212_constancia_pagos_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.

20260212_constancia_pagos_mh_728x90

International

Exclusive Tucson Neighborhood Shaken by Disappearance of Savannah Guthrie’s Mother

The disappearance of Nancy Guthrie, mother of well-known U.S. journalist Savannah Guthrie, has shaken the exclusive Catalina Foothills neighborhood in northern Tucson, Arizona. For the past eleven days, the area has become the focus of an intensive investigation and constant media attention.

The 84-year-old woman was last seen on January 31, when she returned home after a family dinner. Since then, authorities have released few details about the suspected abduction.

“It is worrying that an elderly person could be the victim of a crime like this in her own home; we are a community of retirees,” Mario Ruiz, a resident who lives near the property, told EFE.

He explained that neighbors in the area tend to respect each other’s privacy, and many homes do not even have fences, surrounded only by the desert landscape about 110 kilometers from the Mexican border.

Support for the family is visible in an improvised altar set up outside Guthrie’s house. Flowers, candles and a message written on a stone — “Please pray, bring her home” — reflect the concern felt by the community.

20260212_constancia_pagos_mh_728x90

During a visit to Catalina Foothills on Wednesday, a strong presence of FBI agents could be seen patrolling nearby roads and neighborhoods in search of any clue that might help locate Guthrie.

Officers have been checking bushes, trash containers and surrounding areas near the residence, which is located in one of Tucson’s most exclusive districts, close to shopping centers, private golf courses and resorts.

International

Over 50 Civil Groups Urge House to Impeach DHS Secretary Kristi Noem

More than 50 civil society organizations, including Latino collectives and migrant advocacy groups, on Tuesday urged the U.S. House of Representatives to open impeachment proceedings against Homeland Security Secretary Kristi Noem, whom they accuse of leading a migration policy that is “violent, reckless, and contrary to the Constitution.”

The request was submitted through a letter sent to House Speaker Mike Johnson and other legislative leaders. In the document, the organizations argue that Noem has encouraged repressive practices that have left multiple victims and have “intentionally undermined the mission of the Department of Homeland Security (DHS).”

Among the signatories are Voto Latino, Freedom for Immigrants (FFI), Hispanic Federation, UnidosUS, and the Latino Victory Project. The groups emphasized that at least 187 lawmakers already support the impeachment initiative introduced in January by Representative Robin Kelly for alleged “high crimes and misdemeanors.”

The accusations include the alleged obstruction of congressional access to migrant detention centers and the excessive use of force, with at least 14 people shot since July 2025. They also cite three documented deaths, including those of U.S. citizens Renee Good and Alex Pretti.

The organizations further criticized the detention of migrant children, pointing to the case of five-year-old Liam Conejo Ramos, arrested in Minnesota last month, which sparked nationwide controversy.

20260212_constancia_pagos_mh_728x90

They also denounced that operations carried out by Immigration and Customs Enforcement (ICE) have resulted in due process violations, unlawful detentions of Indigenous citizens, and disregard for court orders. According to the signatories, Noem has “dismantled” civil rights protections within the DHS and has shown a lack of understanding of constitutional principles such as habeas corpus.

Central America

Guatemala to Phase Out Longstanding Medical Cooperation Agreement with Cuba

Guatemala’s government announced on Tuesday that it will end this year a cooperation agreement with Cuba that has brought doctors from the Caribbean nation to work in the Central American country.

Guatemala’s Health Ministry told EFE that the program, which has been in place for nearly three decades, will be phased out progressively throughout 2026.

According to the same source, there are currently 412 Cubans in Guatemala under the agreement, including 333 physicians.

Cuban medical brigades assigned to Guatemala have traditionally been deployed to various regions of the country to provide primary health care to local communities.

“The decision follows a technical assessment aimed at strengthening the sustainability of the national workforce and consolidating the public health system’s own capacities,” the Guatemalan ministry said.

20260212_constancia_pagos_mh_728x90

Earlier this week, lawmaker Sonia Gutiérrez, from the left-wing Winaq party, warned that the move “could be an inhumane act that threatens the health and lives of the country’s most vulnerable populations,” given the historic importance of Cuban doctors in providing medical care.

For that reason, the legislator summoned Health Ministry authorities to Congress, as permitted by law, to provide further details about the decision.

Former human rights ombudsman Jordán Rodas Andrade also weighed in on social media, recalling that “for 27 years Cuban doctors have been the backbone of health care in Guatemala’s most neglected areas,” and stressing that “ending this agreement is an act of ingratitude that leaves the most vulnerable unprotected.”

President Bernardo Arévalo’s government told EFE that, in order to guarantee continued care, it will implement a gradual replacement plan that includes hiring national personnel.