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.
Image: 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.
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“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.
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This is another gangland assassination attempt – the patient has been shot in the head.
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.
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.
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.
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.
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.
Image: 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.
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.
As a possible ceasefire takes shape, Palestinians face the prospect of rebuilding their shattered enclave.
At least 67,194 people have been killed, according to Gaza’s Hamas-run health ministry, the majority of them (53%) women, children and elderly people.
The war has left 4,900 people with permanent disabilities, including amputations, and has orphaned 58,556 children.
Altogether, one in ten Palestinians has been killed or injured since the war began following Hamas’s October 7, 2023 attack on southern Israel.
The attack killed 1,195 people, including 725 civilians, according to Israeli officials. The IDF says that a further 466 Israeli soldiers have been killed during the subsequent conflict in Gaza.
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1:14
Israel says a ceasefire is expected to begin within 24 hours after its government ratifies the ceasefire deal tonight.
Swathes of Gaza have been reduced to rubble
More than 90% of Palestinians in Gaza have been displaced, many of them multiple times, following Israeli evacuation orders that now cover 85% of the Gaza Strip.
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Few of them will have homes to return to, with aid groups estimating that 92% of homes have been destroyed.
“Despite our happiness, we cannot help but think of what is to come,” says Mohammad Al-Farra, in Khan Younis. “The areas we are going back to, or intending to return to, are uninhabitable.”
The destruction of Gaza is visible from space. The satellite images below show the city of Rafah, which has been almost totally razed over the past two years.
In just the first ten days of the war, 4% of buildings in Gaza were damaged or destroyed.
By May 2024 – seven months later – more than 50% of buildings had been damaged or destroyed. At the start of this month, it rose to 60% of buildings.
A joint report from the UN, EU and World Bank estimated that it would take years of rebuilding and more than $53 billion to repair the damage from the first year of war alone.
A surge in aid
Central to the promise of the ceasefire deal is that Israel will allow a surge of humanitarian aid to enter the Gaza Strip.
The widespread destruction of homes has left 1.5 million Palestinians in need of emergency shelter items.
Many of these people are living in crowded tent camps along Gaza’s coast. That includes Al Mawasi, a sandy strip of coastline and agricultural land that Israel has designated a “humanitarian zone”.
Aid agencies report that families are being charged rent of up to 600 shekels (£138) for tent space, and over $2,000 (£1,500) for tents.
Israel has forbidden the entry of construction equipment since the war began and has periodically blocked the import of tents and tent poles.
Restrictions on the entry of food aid have created a famine in Gaza City, and mass hunger throughout the rest of the territory.
Data from Israeli border officials shows that the amount of food entering Gaza has frequently been below the “bare minimum” that the UN’s famine-review agency says is necessary to meet basic needs.
As a result, the number of deaths from malnutrition has skyrocketed in recent months.
To date, Gaza’s health ministry says, 461 people have died from malnutrition, including 157 children.
“Will Netanyahu abide this time?”
As talks of a ceasefire progressed, the Israeli assault on Gaza City continued.
Footage shared on Tuesday, the two-year anniversary of the war, showed smoke rising over the city following an airstrike.
A video posted on Wednesday, verified by Sky News, showed an Israeli tank destroying a building in the city’s northern suburbs.
Uncertainty still remains over the future of Gaza, with neither Israel nor Hamas agreeing in full to the peace plan presented by US president Donald Trump. So far, only the first stage has been agreed.
A previous ceasefire, agreed in January, collapsed after Israel refused to progress to the agreement’s second stage. With that in mind, many in Gaza are cautious about their hopes for the future.
“Maybe we trust Trump, but will Netanyahu abide this time?,” asks Aya, a 31-year old displaced Palestinian in Deir al Balah.
“He has always sabotaged everything and continued the war. I hope he ends it now.”
Additional reporting by Sam Doak, OSINT producer.
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.
Rumours had been spreading over the course of the day, anticipation grew. A source told me that a deal would be done by Friday, another said perhaps by Thursday evening.
They were both wrong. Instead, it came much sooner, announced by Donald Trump on his own social media channel. Without being anywhere near the talks in Egypt, the president was the dominant figure.
Few will argue that he deserves the credit for driving this agreement. We can probably see the origins of all this in Israel’s decision to try to kill the Hamas leadership in Doha.
The attack failed, and the White House was annoyed.
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1:12
‘Hostages coming back,’ Trump tells families
Arab states started to express themselves to Trump more successfully, arguing that it was time for him to rein in Benjamin Netanyahu and bring an end to the war.
They repeated the call at a meeting during the UN General Assembly, which seems to have landed. When the president later met Netanyahu, the 20-point plan was born, which led to this fresh peace agreement.
Image: Donald Trump holds a note saying a deal is ‘very close’. Pic: Reuters
Does it cover everything? Absolutely not. We don’t know who will run Gazain the future, for a start, which is a pretty yawning hole when you consider that Gaza’s fresh start is imminent.
We don’t know what will happen to Hamas, or to its weapons, or really how Israelwill withdraw from the Strip.
But these talks have always been fuelled by optimism, and by the sense that if you could stop the fighting and get the hostages home, then everything else might just fall into place.
Image: Reaction to the peace deal in Tel Aviv from Einav Zangauker, whose son Matan is being held hostage. Pic: Reuters
In order to agree to this, Hamas must surely have been given strong assurances that, even at some level, its demands for Palestinian self-determination would bear fruit. Otherwise, why would the group have given up their one trump card – the 48 hostages?
Once they have gone, Hamas has no leverage at all. It has precious few friends among the countries sitting around the negotiating table, and it is a massively depleted fighting force.
So to give up that power, I can only assume that Khalil al-Hayya, the de facto Hamas leader, got a cast-iron guarantee of… something.
Arab states will greet this agreement with joy. Some of that is to do with empathy for the Palestinians in Gaza, where 67,000 people have been killed and more than 10% of the population has become a casualty of war.
Image: An Israeli soldier stands next to the parcels of humanitarian aid awaiting to be transferred into Gaza in July. File pic: Reuters
But they will also welcome a path to stability, where there is less fear of spillover from the Gaza conflict and more confidence about the region’s economic and political unity.
Trump’s worldview – that everything comes down to business and deal-making – is welcomed by some of these leaders as a smart way of seeing diplomacy.
Jared Kushner has plenty of friends among these nations, and his input was important.
For many Israelis, this comes down to a few crucial things. Firstly, the hostages are coming home. It is hard to overstate just how embedded that cause is to Israeli society.
The return of all 48, living and dead, will be a truly profound moment for this nation.
Secondly, their soldiers will no longer be fighting a war that, even within the higher echelons of the military, is believed to be drifting and purposeless.
Thirdly, there is growing empathy for the plight of the Gazans, which is tied to a fourth point – a realisation that Israel’s reputation on the world stage has been desperately tarnished.
Some will object to this deal and say that it is too weak; that it lets Hamas off the hook and fails to punish them for the atrocities of 7 October.
It is an accusation that will be levelled by far-right members of Netanyahu’s coalition government. It could even collapse the administration.
But for most people, in Israel, Gaza, across the Middle East and around the world, it is a moment of relief. Last week, I was in Gaza, and the destruction was absolutely devastating to witness.
Whatever the compromises, the idea that the war has stopped is, for the moment at least, a beacon of optimism.
As Israel and Hamas finally strike a deal aimed at bringing an end to the war in Gaza, we take a look at the hostages still believed to be alive and who are set to return home any day now.
Israel says that of the 250 initially taken captive in Hamas’s 7 October attack, 20 of the hostages that remain in Gaza are thought to be alive and 28 are dead.
As part of the first phase of the peace deal brokered by US President Donald Trump, some hostages will be released and Israeli soldiers will start withdrawing from Gaza.
On Thursday, Israel said the deal had been signed and the ceasefire would go into force within 24 hours of a cabinet meeting. After that period, the hostages in Gaza will be freed within 72 hours, an Israeli government spokeswoman said.
Here are the hostages believed to be alive and who could soon be returning home after two years of captivity in the besieged enclave of Gaza: