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We barely slow for red lights as cars pull out of our way.

We virtually take off as we scream over a hilly stretch of road.

We’re on board a Red Cross ambulance answering an emergency call in the northern Mexican city of Tijuana. It’s one of the most dangerous cities in the world.

A two-person team, talking into the walkie-talkie, asks for details of the emergency.

“It’s a shooting,” paramedic Zulma Cruz tells me. “We get as many as a dozen a day sometimes,” she says as we see blue lights flashing in the distance and pass a National Guard vehicle with a soldier holding a machine gun, silhouetted against the night sky.

Ramsay and Zulma
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Paramedic Zulma Cruz thinks a lot of the violence is linked to the growing fentanyl business

As we approach, what is now a crime scene as well as a medical emergency, I can see that the streets of one of the most cartel-infested neighbourhoods in this city are awash with police and military.

A second ambulance is surrounded by locals, watching on, and I can see ambulance teams inside treating a man who appears to be conscious.

More on Mexico

“He is stable but critical,” Zulma tells me as she grabs an oxygen canister and her trauma pack and heads off to assist her colleagues.

Zulma is an experienced paramedic, who is used to the menacing presence of security forces and the stares of the local community, many of whom identify with or are part of the cartel.

This is another gangland assassination attempt – the patient has been shot in the head.

Red Cross workers

Three cartels are fighting for control over Tijuana – the Sinaloa Cartel, Jalisco New Generation, and the Tijuana Cartel.

There are over 2,000 murders a year here – that’s over six murders a day. To put that into perspective, in London last year just over 100 people were murdered.

It’s that crazy, and the Red Cross teams are the only ones capable of saving lives out here on the streets.

Zulma tells me that sometimes while she has been trying to save the lives of other victims of a hit, the cartel gunmen have approached her and told her to stop treatment.

Her Red Cross colleague, who didn’t want to be named, said the gunmen couldn’t be persuaded.

“That man dies here,” the gang member said, “then he shot him again,” her partner told me.

“We just had to walk away.”

I ask Zulma if she thinks a lot of this violence and chaos on the streets is linked to the growing fentanyl business.

“It definitely is, it definitely is,” she replies without hesitation.

“I think that it is linked to all that, the drugs, the cartels and fights for selling on the street, and sometimes they cross into each other’s turf…”

Another call for the Red Cross, this time for a fentanyl overdose.

Their medics carry the antidote to fentanyl poisoning – one of the most toxic drugs in the world.

Read more: Inside a secret fentanyl lab

Red Cross workers at scene

It’s called Narcan, and it can save the lives of those who are almost dead.

They arrive on scene as the fire brigade administer first aid. Paramedic Alan Leon jumps out and gets ready to give the victim Narcan.

He briefly talks to the family gathered around the victim, unconscious on a pavement in a quiet residential area.

The man is completely unresponsive. His name is Juan, and he is dying.

Alan instructs a policeman holding a drip to raise it higher.

He then administers the Narcan directly into a cannula, and into the victim’s vein, while explaining to his emergency service colleagues what he’s doing.

They all wait. Time is critical and they’re hoping they’ve caught this victim in time.

Police at crime scene

Alan gently presses into Juan’s chest with his fist and tells everyone to wait.

He feels Juan’s chest again and then there is a sudden movement – the Narcan is working.

Moments later Juan sits up, utterly surprised, and grabs at the medical paraphernalia all around him.

“I’m okay, I’m okay,” he says. It really is quite remarkable.

Alan tells him to wait a minute, and then gives him another shot of Narcan.

“It’s reversing the fentanyl,” he tells Juan.

juan

After a few minutes, Juan stands up and leans against a vehicle parked nearby – he is talking, he’s shocked he’s alive.

His wife and young son, who had watched the whole scene unfold, hug him as he fist bumps our producer.

Fentanyl use, fentanyl trafficking, gang wars, death and murder – the ambulance crews see it all every day, and it’s all linked.

Read more:
Inside a secret drug lab: Gunshot wounds, deadly chemicals and cartel kingpins
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Tijuana’s red-light district is the most public location for the cartel wars and the use and sale of fentanyl on the streets.

It’s also a popular tourist hang out.

The gangs make a fortune from the drugs and sex industry here 24 hours a day, which is why they fight so hard to hold or take territory.

The area is constantly patrolled by police, the National Guard, and the Mexican army, who were deployed here last year to try to reduce homicides, and to fight organised crime.

Injured man
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An injured man is treated by paramedics

We joined the Baja California State Police on one of their patrols through the district.

They told us the cartels don’t care what fentanyl does to people, they are interested in one thing only – money.

“They know what they’re doing, they know what they’re producing, they know the problems they cause selling the drugs, they know that people are becoming more addicted in this country, they know it’s a problem, but they don’t care, they only worry about their own interests,” an officer, who didn’t want to be named, told me.

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The cartels know Mexico’s security services have a huge presence in the city, but they taunt them anyway, by posting videos on social media platforms like TikTok, showing off their guns, drugs, and money.

“Many times it’s to send a message to the other organisations, sometimes it’s to send a message to the police officers that we can’t touch them, but we are fighting back against all these organisations… we try to stop them in all the conflict zones and arrest them,” the officer explained.

Read more: The million dollar streets strewn with bodies contorted by the effects of fentanyl
‘Fentanyl steals your friends’: Pills bought on social media are killing kids in classrooms and in their beds

This district in Tijuana is ground zero for the fentanyl trade in Mexico, and the city is the gateway for drug and people smuggling over the border.

This trade is fuelling an illegal drug epidemic in the United States, and a street war inside Mexico.

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Mexico and Canada agree to bolster US border security in return for tariff pause

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Mexico and Canada agree to bolster US border security in return for tariff pause

Both Canada and Mexico have agreed to strengthen border security with the United States in return for a 30-day pause in tariffs.

President Trump announced on Sunday he was imposing 25% taxes on goods from his country’s northern and southern neighbours.

Mexico was first to reach a deal with the White House. Its president, Claudia Sheinbaum, said she was sending 10,000 National Guard troops to the US border immediately in return for a tariff delay.

Mr Trump said the Mexican soldiers would be “specifically designated” to stop the flow of the synthetic opioid fentanyl into the US, as well as illegal migrants. Further negotiations will now be carried out, he added.

Ms Sheinbaum said she had a “good conversation” with him lasting at least 30 minutes just hours before the tariffs were due to begin.

She also extracted a concession from Mr Trump – after explaining the “seriousness” of high-powered weapons coming over the border from the US and getting into the hands of criminal groups.

“It gives them firepower,” she said. “We asked that the US also help our country by helping stop this arms trafficking… he agreed.”

Donald Trump as he hosted the 2024 Stanley Cup Champions, the Florida Panthers, at the White House. Pic: Reuters
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Donald Trump hosting the 2024 Stanley Cup Champions, the Florida Panthers, at the White House. Pic: Reuters

Canada made similar moves. Prime Minister Justin Trudeau said almost 10,000 frontline personnel “are and will be working on protecting the border”.

He added on X that his country was appointing a “fentanyl czar”, drugs cartels would be listed as terrorists, and there would be “24/7 eyes on the border”.

There will also be a Canada-US joint strike force to “combat organised crime, fentanyl and money laundering”, Mr Trudeau announced.

Both Trudeau and Trump will view the deal as a win – Trump for seemingly forcing the US’s northern neighbour to act, and Trudeau for heading off sanctions with measures that for the most part (with the exception of the fentanyl czar) had already been announced in December.

Donald Trump said he was “very pleased with this initial outcome” and work will begin see how a “Final Economic Deal” with Canada can be structured.

Analysis: Has it all just been theatre?

First Mexico, now Canada. In another whirlwind day, both of America’s closest neighbours appear to have capitulated to President Trump.
The 25% tariffs on all goods from both countries were due to come into effect at midnight US Eastern time. But after calls between all three leaders, suddenly the tariffs were paused.

So what’s going on? Is this a clear signal of the power Trump wields? His blunt tool of using the threat of tariffs as a negotiating tool has paid off? Bullying tactics work? Well, maybe. At least that’s how Mr Trump wants everyone to think. Dance to my tune, or else.

And it’s absolutely the case that Mexico and Canada were in panic mode this weekend. But surely Donald Trump was panicking a little too when he saw the stock markets on Monday. He claimed this afternoon not to be taking any notice of their sharp falls. But we know he cares deeply about market reactions.

Here’s what’s interesting: the statement from Canadian Prime Minister Justin Trudeau sounded at first glance like it was announcing something new.
“Canada is implementing our $1.3bn border plan… nearly 10,000 frontline personnel are and will be working on protecting the border…”

But it’s not a new announcement. Look at the language – “are and will be”. In other words, “we’re doing this already Mr President, but if you want me to reiterate it to placate you, then I will…” All that Justin Trudeau has done today is reiterate a border plan he announced last December.

Mexico too has been doing an increasing amount in the fight against fentanyl though it could and probably now will do more.

So has it all been theatre this past 24 hours?

A show of brinkmanship from Donald Trump, which could have had a cliff-edge ending, but instead ended with him looking strong (and freaking out much of the developed world in the process) and his closest neighbours forced to reiterate their existing plans.

Regarding China, a 10% tariff – in addition to those already in place – is still set to go ahead, though the White House said Mr Trump is due to talk to President Xi Jinping.

The US president has, however, said 10% could be just the start.

“China hopefully is going to stop sending us fentanyl, and if they’re not, the tariffs are going to go substantially higher,” he said.

China has described fentanyl as America’s problem, and said it would challenge the tariffs at the World Trade Organisation, as well as taking other countermeasures.

But it also left the door open for talks.

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‘PM walking tightrope between Trump and EU’

What is the UK situation on tariffs?

President Trump hates trade deficits, and does not want to import more goods from another country than are sent there in return, says Sky’s economics and data editor, Ed Conway.

But Britain has bigger trade deficits than the US, Conway adds, and is one of the few countries in the world to import more goods from America than America imports from it.

Read more:
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Breaking economies could be just first step

In addition, because the UK is no longer part of the European Union, any tariffs imposed on Brussels will not affect London.

When asked about the UK, Mr Trump said: “I think that one can be worked out.”

Sir Keir Starmer said it was “early days”.

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Donald Trump’s tariffs: What’s going on and what does it all mean?

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Donald Trump's tariffs: What's going on and what does it all mean?

Donald Trump has announced sweeping tariffs on Mexico, Canada and China, kicking off a trade war that will affect the globe.

Here we look at the tariffs and what they all mean for the world:

What did Trump announce?

The US president said on Sunday that goods from Mexico and Canada will face 25% tariffs, while 10% taxes will be implemented on imports from China.

Canadian energy, including oil, natural gas and electricity, will be taxed at a 10% rate.

Trade war latest: Follow live updates

The levies were expected to all take effect on Tuesday, with Mexico and Canada both announcing counter-tariffs of their own in response.

However, Mexican President Claudia Sheinbaum said in a news conference on Monday that implementation of the tariffs would be paused for a month, after she and Mr Trump had a conversation and came to an agreement.

But Mr Trump has also threatened to go further, saying tariffs on the European Union would be implemented “pretty soon”.

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Trump’s proposed tariffs

When questioned about the UK, the president said Britain was “out of line” when it came to trade but he thought the situation could be “worked out” without the use of tariffs.

What are tariffs, and how do they work?

Put simply, tariffs are taxes on goods that are brought in from other countries.

By raising the price of imports, tariffs aim to protect domestic manufacturers by making locally made goods cheaper.

Contrary to what Mr Trump has said, it is not foreign countries that pay tariffs, but the importing companies that buy the goods.

For example, American businesses like Walmart or Target pay tariffs directly to the US treasury.

In the US, these tariffs are collected by customs and border protection agents, who are stationed at 328 ports of entry across the country.

Tariffs graphic
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Mr Trump’s proposed tariffs

To compensate for tariffs, companies then put up their prices, so customers end up paying more for goods.

Tariffs can also damage foreign countries as it makes their products pricier and harder to sell.

This can lead to them cutting prices (and sacrificing profits) to offset levies and maintain their market share in the US.

Why is Trump doing this?

Mr Trump has argued that imposing higher levies will help reduce illegal migration and the smuggling of the synthetic opioid fentanyl to the US.

On Mexico, the US leader claimed drug traffickers and the country’s government “have an intolerable alliance” that in turn impacts national security.

He further claimed that Mexican drug cartels are operating in Canada.

Tariffs graphic

On China, he said the country’s government provides a “safe haven” for criminal organisations.

He has also pledged to use tariffs to boost domestic manufacturing.

“We may have short term some little pain, and people understand that. But long term, the United States has been ripped off by virtually every country in the world,” he said.

His aim appears to be to force governments in those countries to work much harder to prevent what he calls illegal migration and the smuggling of the deadly drug fentanyl – as appears to have been agreed by Mexico. But, even if the countries do not do what America wants, it will still potentially benefit firms that produce goods in the US.

What could the consequences be?

Mexico and Canada are two of America’s largest trading partners, with the tariffs upending decades-old trade relationships.

Goods that could be affected most by the incoming tariffs include fruit and veg, petrol and oil, cars and vehicle parts and electronic goods.

New analysis by the Budget Lab at Yale University found that the average US household would lose the equivalent of $1,170 US dollars (£944) in income from the tariffs.

Read more: This is how US consumers will be affected

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Why Trump’s tariffs could cost you

The research also found that economic growth would slow and inflation would worsen, as the tariffs forced up prices.

Immediate consequences were felt on Monday morning, as shares on Asian markets took a tumble.

Japan’s Nikkei opened down 2.9% while Australia’s benchmark – often a proxy trade for Chinese markets – fell 1.8%. Stocks in Hong Kong, which include listings of Chinese companies, fell 1.1%.

UK stocks were also significantly down, with the benchmark FTSE 100 index – containing the most valuable companies on the London Stock Exchange – dropped more than 1.3% on the open.

In Europe, stock markets opened sharply lower while the euro slid 1.3%. The Europe-wide index of companies, the Stoxx 600 dropped as much as 1.5%.

While Mexico’s peso hit its lowest in nearly three years.

‘Very scary path’

Sky News’ data and economics editor Ed Conway said the long term consequences of a trade war is that “everyone gets poorer”, which is what happened to the world before World War Two.

“As countries get poorer, they get frustrated and you get more nationalism,” Conway said, speaking on Friday’s Sky News Daily podcast.

“This is exactly what happened in the 1930s, and the world ended up at war with each other. It is a very, very scary path, and yes, we are basically on a potential of that path.”

However, Conway added that one positive of Mr Trump’s tariffs could be highlighting “massive imbalances” within the global economy.

He said Mr Trump may be able to shift the conversation to problems that “economists don’t want to talk about”.

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“At the moment, we have a dysfunctional global economy,” he explained.

“You have got massive imbalances like trade deficits [when a country’s imports exceeds the value of its exports] and trade surpluses [when a country’s exports exceeds the cost of its imports].

“There might well be a better way of everyone getting together and having a conversation and working out how to align their affairs, so we don’t have these imbalances in the future.

“And tariffs help to get you to this point.”

How has the world reacted?

Canadian Prime Minister Justin Trudeau reacted strongly against Mr Trump’s tariffs, saying his country would impose 25% tariffs on $155bn Canadian dollars (£85.9bn) of US goods in response.

He added that the move would split the two countries apart, and urged Canadians to choose domestic products rather than American ones.

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Tariffs against Canada ‘will put US jobs at risk’

Mexican President Ms Sheinbaum posted on X on Sunday to say she had ordered her economy minister to implement tariff and non-tariff measures to defend Mexico’s interests.

She said her government “categorically rejects” the claim that it has “alliances with criminal organisations” and called on the White House to “fight the sale of drugs on the streets of their major cities”.

A day later, she posted saying she and Mr Trump had a “good conversation” and “reached a series of agreements”.

These agreements include Mexico sending 10,000 troops to the border to “prevent drug trafficking from Mexico to the United States, particularly fentanyl”.

Mr Trump responded to the agreement with Ms Sheinbaum, saying negotiations between the two will be ongoing to try and achieve a “deal”.

Meanwhile, China has claimed the US action violates World Trade Organisation (WTO) rules, and vowed to bring a case before the body that governs global commerce.

It also threatened to take “necessary counter-measures to defend its legitimate rights and interests”.

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Mexico responds to Trump’s tariffs

A spokesperson for the UK government reiterated that the US is an “indispensable ally” and one of the country’s “closest trading partners”.

They added that the trading relationship was “fair and balanced”, after Mr Trump criticised the UK, saying it was “out of line”.

European Union (EU) leaders have also taken a strong stance against looming US tariffs.

Kaja Kallas, the chief of foreign policy for the bloc, said there were no winners in a trade war, and if the US and Europe started one “then the one laughing on the side is China”.

German Chancellor Olaf Scholz added that the EU is strong enough to “respond to tariffs with our own tariffs”, while French President Emmanuel Macron said declarations by the US were pushing Europe to be “stronger and more united”.

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EU can react with its own tariffs

What’s the history of trade wars?

Imposing tariffs is not new to Mr Trump, or the US for that matter.

During his first term in the White House, he imposed higher levies on China and Vietnam.

In 2018, he imposed 25% tariffs on imported steel and 10% on imported aluminium from most countries, a response to what he said was the unfair impact of Chinese steel driving down prices and negatively affecting the US steel industry.

China then hit back with retaliatory tariffs on US imports, including 15% on 120 American products such as fruits, nuts, wine and steel pipes and a 25% tariff on US pork and recycled aluminium.

Before that, democrat Jimmy Carter went so far as to completely ban the sale of wheat to Russia, which remained in effect until Ronald Reagan ended it in 1981.

Read more:
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Trump’s changed tack to focus on Mexico and Canada – why?
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In 2019, Mr Trump also used the threat of tariffs as leverage to persuade Mexico to crack down on migrants crossing Mexican territory on their way to the US.

A study by economists at the Massachusetts Institute of Technology, the University of Zurich, Harvard and the World Bank concluded that Mr Trump’s tariffs the first time around failed to restore jobs to the American heartland.

The tariffs “neither raised nor lowered US employment” when they were supposed to protect jobs, according to Sky News’ US partner network NBC News.

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Swedish anti-Islam campaigner sentenced over Koran burnings days after co-defendant shot dead

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Swedish anti-Islam campaigner sentenced over Koran burnings days after co-defendant shot dead

A man who staged public burnings of the Koran in Sweden has been found guilty of hate crimes, five days after his co-defendant was shot dead.

Salwan Najem, a 50-year-old Swedish citizen, was given a suspended sentence and fined 4,000 crowns (£289) over the Koran burnings and derogatory comments he made about Muslims in the 2023 incidents.

His actions sparked unrest and anger towards Sweden in Muslim countries.

His fellow campaigner, Iraqi refugee Salwan Momika, 38, was shot dead last week on the day he had been due to receive his verdict in a parallel case.

Five people were detained over the killing but later released.

Swedish police said on the day after the shooting on 29 January that Momika was shot dead in a house in Sodertalje, a town near Stockholm. The case against Momika was subsequently dismissed.

Sweden’s prime minister expressed concern the shooting may be linked to a foreign power.

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Burning the Koran is seen by Muslims as a blasphemous act because they consider it the literal word of God.

The Stockholm district court said Sweden had extensive free speech rights and that followers of a religion must accept that they would sometimes feel offended, but that Najem and Momika had “by a wide margin” overstepped the mark for reasonable and factual religious criticism.

The court said the Koran did not have any special protection just because it was a holy scripture for Muslims and that there could be cases where burning was not considered a hate crime.

Najem was found guilty of hate crimes for “having expressed contempt for the Muslim ethnic group because of their religious beliefs on four occasions”, the court said.

Najem’s lawyer has said he would be appealing against the verdict.

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