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A street drug which rots the skin of those who use it has been designated an “emerging threat to the nation” by the White House.

The unprecedented announcement, by the Biden administration’s Office for National Drug Control Policy, reflects the alarming speed at which ‘Tranq’ is spreading across America.

Last month, Sky News revealed the impact Tranq – a mixture of the opioid fentanyl and the animal tranquiliser Xylazine – is having on communities in Philadelphia.

Since then, data suggests use of the drug is spreading rapidly all over the country.

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New drug rotting user’s skin

Speaking to reporters, the head of the White House Office for National Drug Control Policy, Dr. Rahul Gupta expressed alarm at the prevalence of the cocktail.

“I’m deeply concerned about what this threat means for the nation,” he said, adding: “This is the first time in our nation’s history that a substance is being designated as an emerging threat by any administration,”

In a special report filmed over a series of days last month, Sky News examined the impact the drug is having on a community in the north-eastern city of Philadelphia where the cocktail first emerged.

With help from volunteer medics and outreach workers we were shown the horrific wounds caused by the drug which is smoked, snorted or injected. Unusually the wounds appear randomly on the body.

Frequently, they are deep, they heal slowly and in many cases they lead to amputation.

Danielle, a mother of three. Until a couple of years ago, Danielle worked as a certified recovery specialist to support people in rehab. She shows the wounds on her arms.
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Wounds appear randomly on the body of ‘Tranq’ users

Health officials in Philadelphia, speaking to Sky News last month, admitted they do not have a grip of their city’s crisis and warned that it would spread to other parts of the country.

Newly analysed data now shows a 1000% increase in overdoses linked to Tranq in southern American states suggesting a rapid and alarming spread.

The US is already experiencing a drug overdose crisis with the synthetic opioid fentanyl. Overdoses have surged to more than 100,000 a year.

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What is ‘Tranq’? The new drug emerging in America

Dealers are now cutting, or mixing, fentanyl with Xylazine creating the ‘Tranq’ cocktail to lower their costs and increase demand.

Read more:
What is fentanyl?
‘Lack of hugs’ behind US opioid overdoses, says Mexico leader

Users told Sky News that the new cocktail increases their addiction levels driving them to more hits a day.

White House officials formally notified Congress about the public health threat on Wednesday and say they will roll out a plan to tackle the crisis over the next 90 days.

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Measures are likely to include more testing for users so they can identify if Xylazine is contained in their drug supply. Dr Gupta has also called for more funding for accessible treatment for users.

In Philadelphia, users told us adequate and accessible treatment was not easily available. America’s insurance-based health system significantly complicates the challenge.

Xylazine is readily available to dealers on the open market. It is used legally by veterinarians as an animal tranquilizer.

The Drug Policy Alliance advocates for harm reduction but also highlights the harm caused by drug prohibition.

In a statement, they told Sky News: “The Biden Administration must learn from the mistakes of the past.

“Crackdowns on prescription opioids and heroin created the conditions for fentanyl analogues to flourish and overtake the drug supply.

“And now history is once again repeating itself, with newer, potentially more harmful substances like Xylazine popping up and already overtaking some markets.

“Make no mistake, focusing on supply-side interdiction will only dig us deeper into this crisis and inevitably result in more loss of life.”

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How Trump’s Republicans are literally redrawing maps to help stay in power

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How Trump's Republicans are literally redrawing maps to help stay in power

Legislators in Texas have approved new congressional maps designed to boost Donald Trump’s Republicans at next year’s midterm elections.

Known as redistricting, the state’s re-drawn map would shift conservative voters into districts currently held by Democrats, and combine other districts with a Democratic majority into one.

The process is not new, and is completely legal – unless it is ruled to be racially motivated – but typically occurs every 10 years after the US Census to account for population changes.

The push to redistrict early came from Mr Trump himself, who wants to bolster his chances of preserving the slim Republican majority in the House of Representatives at next year’s crucial midterms.

But by trying to re-draw the maps in the red state of Texas, Democrats have lined up their own counter redistricting effort in the blue state of California.

If more states decide to re-consider their maps, it has the potential to largely determine the outcome of the 2026 midterms, before a single vote is cast.

What’s happening in Texas?

Mr Trump first said he wanted politicians in Texas to redraw the state’s congressional district in July. The governor of Texas, Greg Abbott, followed up on the president’s demands, calling for a special session to vote on new maps.

“Please pass this map ASAP,” Mr Trump urged on his Truth Social platform on Monday. “Thank you, Texas!”

Republican Texas State Representative Todd Hunter brought about the legislation. Pic: AP
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Republican Texas State Representative Todd Hunter brought about the legislation. Pic: AP

In an effort to try to make passing the vote as difficult as possible, Democrats fled the state for two weeks. Per parliamentary rules, if enough Democrats refuse to take part in the special session, the Texas House can’t meet.

On their return, each Democratic politician was assigned a police escort to ensure they attended the session.

Nicole Collier, who refused the police escort, stayed in the House for two nights, and was pictured with an eye mask and blanket trying to sleep at her desk.

Nicole Collier sleeps in the House chamber after refusing a police escort. Pic: Reuters
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Nicole Collier sleeps in the House chamber after refusing a police escort. Pic: Reuters

Once the debate started, the doors to the chamber were locked and all members wanting to leave had to get a permission slip to do so.

After nearly eight hours, the legislation to formally change the map was passed 88-52 on Wednesday.

It now needs to be approved by the Texas Senate, where Republicans hold a majority, and then signed off by Mr Abbott, who has already committed to doing just that.

Activists protest against mid-decade redistricting in Texas. Pic: AP
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Activists protest against mid-decade redistricting in Texas. Pic: AP

Why re-draw maps?

Republicans in Texas have openly said the rally to re-draw congressional maps is in the party’s interest.

Todd Hunter, the Republican who wrote the legislation formally creating the new map, told the House: “The underlying goal of this plan is straight forward: improve Republican political performance.”

He said the dispute is nothing more than a partisan fight, and made reference to the US Supreme Court having previously allowed politicians to redraw districts for partisan purposes.

Read more from Sky News:
Trump sets red line on Ukraine
Trump risks ‘very big mistake’ with Putin

Pic: AP
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Pic: AP

Democrats hit back, arguing the disagreement was about more than partisanship.

“In a democracy, people choose their representatives,” representative Chris Turner said. “This bill flips that on its head and lets politicians in Washington, DC, choose their voters.”

Another Democrat, John H Bucy, blamed the president, saying: “This is Donald Trump’s map.

“It clearly and deliberately manufactures five more Republican seats in Congress because Trump himself knows that the voters are rejecting his agenda.”

How have Democrats responded?

The move by Republicans has triggered a tit-for-tat move by the Democrats, who are due to meet in California on Thursday to revise the state’s maps in order to gain five more seats.

To enact the same powers in California will prove harder, as state laws require an independent commission to take responsibility for redistricting – meaning it would need to be approved by voters in a special election.

In other blue states, rules are even tighter. For example, in New York, they cannot draw new maps until 2028, and even then, only with voter approval.

Despite the obstacles, California governor Gavin Newsom confirmed a redistricting election will take place in the state on 4 November, in order to “fight fire with fire”.

His plan has gained support from former president Barack Obama, who said it was necessary to “stave off” the Republicans’ move in Texas.

Barack Obama attends Trump's inauguration in January. Pic: The New York Times via AP
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Barack Obama attends Trump’s inauguration in January. Pic: The New York Times via AP

Could this affect the midterms?

The midterms in November next year will likely be on a knife edge.

Whatever the outcome, it could shape the remainder of Mr Trump’s second term in office. A Democrat majority would make it tougher for him to pass laws.

Currently, Republicans control the House of Representatives in Washington, 219-212 (excluding four open vacancies). A party needs 218 seats for a majority.

In the Senate, the Republicans hold a similarly slim majority of 53 to 45.

Gavin Newsom is framing his response as the 'election rigging response act'. Pic: Reuters
Image:
Gavin Newsom is framing his response as the ‘election rigging response act’. Pic: Reuters

However, the incumbent president’s party typically loses seats in the midterms.

In the 2018 midterms, during Mr Trump’s first tenure as president, the Democrats took control of the House. Likewise, in 2022, when Joe Biden was president, the House swung back to the Republicans.

It’s important to note that 27 House seats will remain in states that are unlikely to redraw their maps, according to The New York Times.

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In a bid to avoid a repeat of history, Mr Trump is pushing for redistricting in states beyond Texas. Top Republicans in states like Indiana, Missouri, and Florida continue to talk about tweaking their maps to create more Republican-controlled congressional seats.

While Ohio has to legally redraw, the timing of which could benefit the Republicans, and, by extension, Mr Trump.

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Trump: I won’t send US troops to Ukraine – but might help by air

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Trump: I won't send US troops to Ukraine - but might help by air

Donald Trump has said American troops will not be sent to Ukraine, but the US may provide air support as part of a peace deal with Russia.

A day after his extraordinary White House meeting with Ukrainian President Volodymyr Zelenskyy and the leaders of Kyiv’s European allies, the US president told Fox News “when it comes to security, [Europeans] are willing to put people on the ground. We’re willing to help them with things, especially, probably, by air”.

Ukraine war – follow the latest developments

Mr Trump did not elaborate, but White House press secretary Karoline Leavitt told reporters US air support was “an option and a possibility”.

She said the US president “has definitively stated US boots will not be on the ground in Ukraine, but we can certainly help in the coordination and perhaps provide other means of security guarantees to our European allies”.

Air support could take many forms, including missile defence systems or fighter jets enforcing a no-fly zone – and it’s not clear what role the US would play under any proposed peace deal.

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What security guarantees could work?

Zelenskyy-Putin summit

It comes as planning for a possible Zelenskyy-Putin summit get under way. Talks between the Ukrainian and Russian president are seen by Mr Trump as vital to ending the war.

Sky News understands a meeting could happen before the end of the month, with Geneva, Vienna, Rome, Budapest, and Doha among the venues being considered.

Geneva, Switzerland, is considered the best option, with Rome or the Vatican disliked by the Russians and Budapest, Hungary, not favoured by the Ukrainians.

European allies are understood to want security guarantees to be defined before the meeting.

A NATO-like treaty, guaranteeing Ukraine’s allies would come to its defence in case of any future Russian attack, is being worked on and could be completed by next week.

Like the US, Sky News understands Italy is opposed to putting boots on the ground in Ukraine.

But EU diplomats are confident this is the best chance yet to stop the war, and allies could return to Washington in early September to celebrate any deal being struck.

Read more on Sky News:
‘Don’t trust Russia,’ diplomat warns
Why peace may be further away, not closer
Five key takeaways from White House talks

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Sky’s Mark Stone takes you inside Zelenskyy-Trump 2.0

Trump still has doubts about Putin

Despite the renewed optimism about a peace deal following Monday’s White House summit, Mr Trump has admitted Vladimir Putin might not be sincere about wanting to end the war.

“We’re going to find out about President Putin in the next couple of weeks,” he told Fox News.

He’s previously threatened to put more sanctions on Russia if a peace deal isn’t reached, though previously set deadlines have been and gone.

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Russia launched its biggest air assault on Ukraine in more than a month on Monday night, sending 270 drones and 10 missiles, the Ukrainian air force said.

Ukraine’s European allies in the so-called Coalition of the Willing, an initiative spearheaded by Sir Keir Starmer and Emmanuel Macron, discussed additional sanctions to place on Russia on Tuesday.

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Ukrainian diplomat involved in 90s nuclear deal with Russia warns Trump about ‘very big mistake’ with Putin

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Ukrainian diplomat involved in 90s nuclear deal with Russia warns Trump about 'very big mistake' with Putin

Ukrainians have given a lukewarm reaction to this week’s White House summit.

There is bafflement and unease here after US President Donald Trump switched sides to support his Russian counterpart, Vladimir Putin, dropping calls for a ceasefire and proposing that Ukraine surrender territory.

While allies are talking up the prospects of progress, people here remain unconvinced.

Ukraine war latest – Trump rules out using US troops

Boris Yeltsin (2L) and Bill Clinton (C) sign the 1994 Budapest Memorandum
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Boris Yeltsin (2L) and Bill Clinton (C) sign the 1994 Budapest Memorandum

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What security guarantees could work?

The Trump administration’s contradictory statements on possible security guarantees are causing concern here.

MP Lesia Vasylenko told Sky News it is not at all clear what the allies have in mind.

“Who is going to be there backing Ukraine in case Russia decides to revisit their imperialistic plans and strategies and in case they want to restart this war of aggression?”

For many Ukrainians, there is a troubling sense of deja vu.

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Ukrainian drone strikes Russian fuel train

In the 1994 Budapest Memorandum, Ukraine agreed to give up not land but its nuclear arsenal, inherited from the Soviet Union, in return for security assurances from Russia and other powers.

They know how that ended up to their enormous cost. Putin reneged on Russia’s side of the bargain, with his invasion of Crimea in 2014 and once again with his full-scale attack three and a half years ago.

We met veteran Ukrainian diplomat Yuri Kostenko, who helped lead those negotiations in the 90s.

Veteran Ukrainian diplomat Yuri Kostenko helped lead the Budapest Memorandum negotiations
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Veteran Ukrainian diplomat Yuri Kostenko helped lead the Budapest Memorandum negotiations

He said there is a danger the world makes the same mistake and trusts Vladimir Putin when he says he wants to stop the killing, something Mr Trump said he now believes.

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“It’s not true, it’s not true, Russia never, never, it’s my practices in more than 30 years, Russia never stop their aggression plans to occupy all Ukraine and I think that Mr Trump, if he really believes Mr Putin, it will be a very big mistake, Mr Trump, a very big mistake.”

Before the Alaska summit, allies agreed the best path to peace was forcing Mr Putin to stop his invasion, hitting him where it hurts with severe sanctions on his oil trade.

But Mr Trump has given up calls for a ceasefire and withdrawn threats to impose those tougher sanctions.

Instead, he has led allies down a different and more uncertain path.

Read more on Sky News:
Putin wasn’t there, but influenced summit
Peace further away, not closer
Five takeaways from White House talks

Ukrainians we met on the streets of Kyiv said they would love to believe in progress more than anything, but are not encouraged by what they are hearing.

While the diplomacy moves on in an unclear direction, events on the ground and in the skies above Ukraine are depressingly predictable.

Russia is continuing hundreds of drone attacks every night, and its forces are advancing on the front.

If Vladimir Putin really wants this war to end, he’s showing no sign of it, while Ukrainians fear Donald Trump is taking allies down a blind alley of fruitless diplomacy.

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