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Latin American alert: Imminent risk of a fentanyl crisis?

Latin American alert: Imminent risk of a fentanyl crisis?
Photo: Reuters

November 29 |

On the streets, fentanyl is known as “King Ivory”, “White Chiva”, “Tango” or “Murder 8”. This synthetic opioid, which authorities claim is up to 50 times more potent than heroin and 100 times stronger than morphine, has raised red flags in Latin America, raising the possibility of facing its own fentanyl crisis.

Brian Clark, a special agent with the U.S. Drug Enforcement Administration (DEA), describes it as the cause of the most devastating drug crisis in U.S. history. Its ease of manufacture, low cost and high lethality make it a significant threat.

In this context, Lisa Monaco, U.S. Assistant Attorney General, highlights the key feature of fentanyl that contributes to its dangerousness: it is fully synthetic and its supply is potentially unlimited.

The increase in fentanyl seizures in Latin America is alarming, reports InSight Crime. Countries such as Costa Rica, Argentina, Colombia, Panama, Ecuador, Brazil and Venezuela have been affected by this growing trend.

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Argentina experienced a significant case last year in which a mixture of cocaine and an extremely strong type of fentanyl resulted in the death of 24 people in 24 hours, according to Candice Welsch, regional representative of the United Nations Office on Drugs and Crime.

Given this scenario, the question arises: Is it imperative for the region to take immediate preventive measures?

Experts highlight the importance of comparing the illicit use of fentanyl between Latin America and other regions, as well as its origin. While in the United States the Sinaloa and Jalisco cartels are responsible for the flow of fentanyl, in South America the problem lies more in the diversion of medical fentanyl into illicit channels, rather than its illegal production, according to Julian Quintero, a researcher at ATS Corporation.

The presence of other synthetic drugs in the region, such as tusi, ecstasy and ketamine, poses an ongoing challenge and could facilitate the expansion of fentanyl in an already receptive market, warns Welsch.

While experts consider it unlikely that illegal fentanyl produced in Mexico will be widely distributed in Latin America, they urge not to underestimate its presence. The region does not have a marked history of opioid use as in the United States, but Quintero notes that the trend in consumption is toward stimulants.

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Faced with these challenges, experts emphasize the importance of implementing preventive measures in the region, suggesting strengthening the legislative framework and preparing adequately to face a possible arrival of fentanyl. Expertise in substance testing, supervised consumption rooms and community education are essential tools to mitigate the risks associated with this dangerous substance.

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International

Colombia says it would not reject Maduro asylum request as regional tensions escalate

The Colombian government stated on Thursday that it would have no reason to reject a potential asylum request from Venezuelan President Nicolás Maduro should he leave office, as regional tensions persist over the deployment of U.S. military forces in the Caribbean since August.

“In the current climate of tension, negotiations are necessary, and if the United States demands a transition or political change, that is something to be assessed. If such a transition results in him (Maduro) needing to live elsewhere or seek protection, Colombia would have no reason to deny it,” said Colombian Foreign Minister Rosa Villavicencio in an interview with Caracol Radio.
However, Villavicencio noted that it is unlikely Maduro would choose Colombia as a refuge. “I believe he would opt for someplace more distant and calmer,” she added.

Colombian President Gustavo Petro also commented on Venezuela’s situation on Wednesday, arguing that the country needs a “democratic revolution” rather than “inefficient repression.” His remarks followed the recent detention and passport cancellation of Cardinal Baltazar Porras at the Caracas airport.

“The Maduro government must understand that responding to external aggression requires more than military preparations; it requires a democratic revolution. A country is defended with more democracy, not more inefficient repression,” Petro wrote on X (formerly Twitter), in a rare public criticism of the Venezuelan leader.

Petro also called for a general amnesty for political opponents and reiterated his call for forming a broad transitional government to address Venezuela’s prolonged crisis.

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Since September, U.S. military forces have destroyed more than 20 vessels allegedly carrying drugs in Caribbean and Pacific waters near Venezuela and Colombia, resulting in over 80 deaths.
U.S. President Donald Trump has repeatedly warned that attacks “inside Venezuela” will begin “soon,” while Maduro has urged Venezuelans to prepare for what he describes as an impending external aggression.

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International

Cuba battles out-of-control dengue and chikungunya epidemic as death toll rises to 44

Cuba is facing a severe dengue and chikungunya epidemic that has already claimed at least 44 lives, including 29 minors, according to the Ministry of Public Health (Minsap). The outbreak—now considered out of control—has expanded across the entire country amid a critical shortage of resources to confront the emergency.

Authorities report more than 42,000 chikungunya infections and at least 26,000 dengue cases, though they acknowledge significant underreporting as many patients avoid seeking care in health centers where medicines, supplies, and medical personnel are scarce. The first cluster was detected in July in the city of Matanzas, but the government did not officially use the term “epidemic” until November 12.

Chikungunya—virtually unknown on the island until this year—causes high fever, rashes, fatigue, and severe joint pain that can last for months, leaving thousands temporarily incapacitated. Dengue, endemic to the region, triggers fever, muscle pain, vomiting, and, in severe cases, internal bleeding. Cuba currently has no vaccines available for either virus.

Minsap reports that of the 44 deaths recorded so far, 28 were caused by chikungunya and 16 by dengue.

The health crisis unfolds amid deep economic deterioration, marked by the absence of fumigation campaigns, uncollected garbage, and shortages of medical supplies—conditions that have fueled the spread of the Aedes aegypti mosquito, the primary vector for both diseases. “The healthcare system is overwhelmed,” non-official medical sources acknowledge.

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Beyond the health impact, the epidemic is heavily disrupting economic and family life. The intense joint pain caused by chikungunya has led to widespread work absences, while hospital overcrowding has forced relatives to leave their jobs to care for the sick. In November, authorities launched a clinical trial using the Cuban drug Jusvinza to reduce joint pain, though results have not yet been released.

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International

Ecuador on track for record violence as homicides hit highest level in Latin America again

Violence in Ecuador is expected to reach historic levels by the end of 2025, with the country set to record the highest homicide rate in Latin America for the third consecutive year, according to a report released Thursday by the Armed Conflict Location & Event Data Project (ACLED). The organization warns that criminal activity is not only persisting but could worsen in 2026.

Official figures show 7,553 homicides recorded through October, surpassing the 7,063 registered throughout all of 2024. ACLED estimates that 71% of the population was exposed to violent incidents this year, despite President Daniel Noboa’s declaration of an “internal armed conflict” in an attempt to confront powerful criminal groups.

According to the report, several factors are driving the deterioration of security: a territorial war between Los Chonerosand Los Lobos, the two most influential criminal organizations in the country; the fragmentation of other groups after the fall of their leaders; and Ecuador’s expanding role as a strategic hub for regional drug trafficking.

Since 2021, violence has forced the internal displacement of around 132,000 people, while more than 400,000 Ecuadorians — equivalent to 2% of the population — have left the country. Between January and November alone, violent deaths rose 42%, fueled by prison massacres and clashes between rival gangs.

The report warns that conditions may deteriorate further. Ecuador has been added to ACLED’s 2026 Conflict Watchlist, which highlights regions at risk of escalating violence. The expansion of Colombian armed groups such as FARC dissidents and the ELN, state weakness, and a potential rerouting of drug trafficking corridors from the Caribbean to the Pacific intensify the threat.

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“The president is facing a wave of violence that shows no signs of easing,” the report concludes.

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