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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

Mexico, Brazil and Colombia left out of Trump’s “Shield of the Americas” summit

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The meeting, held in Miami, Florida, brought together 12 presidents from across the continent to discuss strategies to combat drug cartels and organized crime.

In Mexico’s case, President Claudia Sheinbaum had recently rejected the use of military force as a solution to the drug trafficking problem. She has argued that her administration’s security strategy is producing results and emphasized that force alone is not the answer.

During the summit, Trump said that most narcotics entering the United States come through Mexico and referred to his previous conversations with Sheinbaum on the issue.

“I like the president very much, she’s a very good person,” Trump said. “But I told her: ‘Let me eradicate the cartels.’ And she said, ‘No, no, no, please, president.’ We have to eradicate them. We have to finish them.”

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The remarks highlighted ongoing differences between Washington and Mexico over how to confront drug trafficking networks operating across the region.

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International

Trump announces 17-nation alliance in the Americas to “destroy” drug cartels

U.S. President Donald Trump announced on Saturday the creation of a 17-nation alliance across the Americas aimed at dismantling drug cartels, during a regional summit held at his golf club in Doral.

Speaking to a group of allied leaders at the Shield of the Americas Summit, Trump said the initiative would rely on military force to eliminate powerful criminal networks operating throughout the hemisphere.

“The heart of our agreement is the commitment to use lethal military force to destroy these sinister cartels and terrorist networks. Once and for all, we will put an end to them,” Trump told the assembled heads of state.

The Republican leader argued that large portions of territory in the Western Hemisphere have fallen under the control of transnational gangs and pledged U.S. support to governments seeking to confront them. He even suggested the potential use of highly precise missiles against cartel leaders.

Before making the announcement, Trump greeted the roughly twelve leaders attending the summit, including close allies such as Javier Milei, Daniel Noboa and Nayib Bukele, whom he described as a “great president.”

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The meeting forms part of Trump’s broader regional strategy inspired by his reinterpretation of the Monroe Doctrine, which seeks to reinforce Washington’s influence in the Americas, strengthen security cooperation and counter the growing presence of powers such as China.

Trump pointed to recent U.S. actions in the region as examples of his administration’s approach, including the operation that led to the capture of former Venezuelan president Nicolás Maduro earlier this year.

The summit also takes place amid escalating international tensions following the conflict launched last week by the United States and Israel against Iran.

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Trump replaces Homeland Security Secretary Kristi Noem with Senator Markwayne Mullin

U.S. President Donald Trump announced Thursday the departure of Kristi Noem as Secretary of Homeland Security, one of the key architects of the administration’s policy of deporting undocumented immigrants.

Noem, who has been assigned a new role as a “special envoy” to Latin America, will be replaced starting March 31 by Republican Senator Markwayne Mullin, the president said in a message posted on his social media platform Truth Social.

According to media reports, Trump made the decision after Noem’s recent hearings in Congress, during which she faced tough questions regarding the awarding of a major public contract.

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