International
H: the heroin derivative ravaging Ecuador’s poor

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.
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.
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.
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.
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.
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.
International
Study finds COVID-19 vaccines prevented 2.5 million deaths worldwide

COVID-19 vaccines prevented an estimated 2,533,000 deaths worldwide between 2020 and 2024, according to an international study led by Università Cattolica del Sacro Cuore in Italy and Stanford University in the United States, published in the journal JAMA Health Forum. Researchers calculated that one death was prevented for every 5,400 doses administered.
The analysis also found that the vaccines saved 14.8 million years of life, equivalent to one year of life gained for every 900 doses given.
The study, coordinated by Professor Stefania Boccia, revealed that 82% of the lives saved were people vaccinated before becoming infected with the virus, and 57% of deaths avoided occurred during the Omicron wave. In addition, 90% of the beneficiaries were adults over 60 years old.
“This is the most comprehensive analysis to date, based on global data and fewer assumptions about the evolution of the pandemic,” explained Boccia and researcher Angelo Maria Pezzullo.
International
Trump administration blasts judge’s ruling reinstating TPS for Honduras, Nepal, and Nicaragua

The administration of U.S. President Donald Trump criticized a federal judge’s ruling on Friday that reinstated Temporary Protected Status (TPS) for Honduras, Nepal, and Nicaragua, stressing that the immigration program was never intended to serve as a “de facto asylum system.”
On Thursday, Judge Trina Thompson extended protections for about 7,000 Nepalese immigrants, whose TPS was set to expire on August 5. The ruling also impacts roughly 51,000 Hondurans and nearly 3,000 Nicaraguans, whose TPS protections were scheduled to end on September 8.
Immigrants covered by TPS had sued the Department of Homeland Security (DHS), alleging that the program’s termination was driven by “racial animus” and stripped them of protection from deportation.
DHS Deputy Undersecretary Tricia McLaughlin issued a statement saying the decision to end TPS was part of a mandate to “restore the integrity” of the immigration system and return the program to its original purpose.
“TPS was never conceived as a de facto asylum system; however, that is how previous administrations have used it for decades,” McLaughlin emphasized.
She also criticized Judge Thompson, calling the ruling “another example” of judges “stirring up claims of racism to distract from the facts.”
McLaughlin added that DHS would appeal the decision and take the legal battle to higher courts.
The Trump administration has also terminated TPS protections for approximately 160,000 Ukrainians, 350,000 Venezuelans, and at least half a million Haitians, among other immigrant groups.
International
Trump to build $200M ballroom at the White House by 2028

The U.S. government under President Donald Trump announced on Thursday that it will begin construction in September on a new 8,000-square-meter ballroom at the White House.
The announcement was made by Karoline Leavitt, the administration’s press secretary, during a briefing in which she explained that the expansion responds to the need for a larger venue to host “major events.”
“Other presidents have long wished for a space capable of accommodating large gatherings within the White House complex… President Trump has committed to solving this issue,” Leavitt told reporters.
The project is estimated to cost $200 million, fully funded through donations from Trump himself and other “patriots,” according to a government statement. Construction is scheduled to begin in September and is expected to be completed before Trump’s term ends in 2028.
The Clark Construction Group, a Virginia-based company known for projects such as the Capital One Arena and L’Enfant Plaza in Washington, D.C., has been selected to lead the project.
The new ballroom will be built on the East Wing of the White House, expanding the iconic residence with a space designed for state dinners, official ceremonies, and large-scale events.
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