Alarming rise in ‘zombie drug’ deaths in America as White House reveals action plan
New figures show a shocking rise in deaths on US streets linked to a drug which rots the skin of those who use it.
Xylazine, often referred to as Tranq or the zombie drug, has spread across America at such alarming speed that the White House has now released a new six-point action plan to tackle the crisis.
The drug, an animal tranquillizer, is increasingly mixed or “cut” by drug dealers into supplies of fentanyl which itself is already killing over 100,000 Americans every year.
According to the most recent data from 20 US states and the District of Columbia, the monthly percentage of fentanyl-associated deaths where xylazine was detected has increased from 2.9% to 10.9% – a jump of 276%.
Revealing the new figures and announcing the action plan, Dr Raul Gupta, the White House director of national drug control policy, said: “This administration recognises the grave threat that fentanyl combined with xylazine presents to our nation.”
The latest numbers are stark, shocking and suggest that the skin-rotting animal tranquiliser is now firmly established in America’s drug market.
In the 12 months ending in January, 109,000 Americans died from a drug overdose. Nearly seven in ten of those deaths were attributed to synthetic opioids like fentanyl and a growing number were linked to xylazine.
The Drug Enforcement Agency (DEA) has seized xylazine-fentanyl mixtures in 48 of the 50 US states. And according to the DEA laboratories, in 2022, 23% of fentanyl powder and 7% of fentanyl tablets contained xylazine.
Spelling out the scale of the crisis, Dr Gupta said: “As a physician, I’ve never seen one this bad, at this scale… I visited the wound care clinic in Kensington neighbourhood of Philadelphia, one of the hardest hit communities in the nation.”
He added: “So what I want everyone to understand is this: if we thought fentanyl was dangerous, fentanyl combined with xylazine is even deadlier.”
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The streets of Philadelphia
In March, Sky News revealed the scale of the xylazine crisis in the northeastern city of Philadelphia, where the drug cocktail first emerged, with a report that exposed the true cost of America’s evolving drug challenge.
On block after block in the Kensington district we saw people suffering from addiction who were increasingly finding their opioid supply was being cut by dealers with xylazine.
We saw the open wounds, the rotting skin and the volunteer outreach workers overwhelmed by the scale of the challenge.
Speaking to Sky News four months since we visited, one of the volunteers we met said the situation is now much worse.
“The hospitals can’t keep the patients comfortable – because of their addiction – to keep them long enough to get the wounds under control,” Ronnie Kaiser told me.
When the wounds caused by the xylazine get to a certain stage, the user may either admit themselves to the hospital or be taken to hospital. But their urge for another ‘hit’ will often be greater than the recognition that the wounds need to be treated. It is a cruel and vicious cycle of addiction.
“There’s always new people and sadly some we’ve seen for years and, of course, there’s some who passed.” Ronnie said.
Sky News visited Kensington in Philadelphia to investigate the impact of Tranq
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The White House six-point plan
According to Neera Tanden, the domestic policy adviser at the White House, the new six-point plan seeks to: “Aggressively expand access to prevention, harm reduction, treatment and recovery support for those with substance use disorders. And [take] bold actions to disrupt the supply of illicit drugs, especially fentanyl that is harming communities or all across the country.”
The plan, released on Tuesday, focuses on six pillars of action: testing, data collection, evidence-based prevention, harm reduction/treatment, supply reduction, scheduling (categorising the drug) and research.
The White House’s drug policy director, Dr Gupta said: “We’re calling on Congress to fully fund President Biden’s historic $46.1bn (£35.7bn) budget request for national drug control programs, including key funding to address illicit fentanyl and emerging threats like xylazine.”
Ronnie, who runs the Philadelphia-based charity Angels in Motion, speaking to Sky News earlier in 2023
The reaction on the streets
Ronnie, who runs the Philadelphia-based charity Angels in Motion, welcomed the fact that the federal government was finally recognising the scale of the crisis.
“Perhaps awareness is there now. It’s good that solutions are being looked at,” she said.
But she questioned the practicalities of the proposals: “Test strips? Why? Do they think the dealer will take the bag [of drugs] back if it comes up positive?!”
“We need more help with prevention, harm reduction, rehab and recovery houses – these should be the absolute solution now!” she said.
“Those of us on the ground know that these are the things needed. Unfortunately, I think funding goes to certain people, not so much to the boots on the ground.”
She pointed to the perennial American problem of medical insurance and the ‘for profit’ medical facilities. Even those living on the streets and suffering from addiction are required to navigate the country’s complex health system if they are to stand a real chance of recovery.
“We need federal rehabs, federal recovery houses, the ability for longer rehab stays and definitely all insurances to be accepted at all rehabs,” she said.
“That’s what we need so that all ‘for profit’ places go away. There are recovery houses that are so bad – throwing people out because they can’t find a job to pay fast enough.”
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Too late for America
In February, Philadelphia’s substance use prevention and harm reduction chief, Dr Andrew Best, warned that cities across America should brace for xylazine and called on the federal government to do more.
“Right now there’s no state or federal funding available,” he told Sky News. “I don’t want this to spread to other cities.”
The new data shows it’s too late, and in May the first UK death linked to xylaxine was announced.
The Biden administration has also announced plans to disrupt the supply of both fentanyl and xylazine into the country. The precursor products come from China and are mostly converted to tablet or powder form by cartels in Mexico as Sky News exposed earlier this year.
The fear now, given the ever-growing supply of xylazine-adulterated fentanyl, is that it will infiltrate other sectors of society.
In May, Sky News saw how small-town communities were struggling with accidental fentanyl overdoses by children in schools
At least 40 people have been killed across four states after Hurricane Helene barrelled its way across southeastern US.
Emergency crews are racing to rescue people trapped in flooded homes after Helene struck the coast of Florida as a highly destructive Category 4 storm.
It generated a massive storm surge, wreaking a trail of destruction extending hundreds of miles north.
Millions are without power in Florida and neighbouring states.
Meanwhile, dozens of people are trapped on the roof of a flooded Tennessee hospital, with a “dangerous rescue operation” under way.
The Unicoi County Hospital is engulfed in “extremely dangerous and rapidly moving water”, according to Tennessee’s Ballad Health.
Patients and staff are trapped on the roof of Unicoi County Hospital. (Pic: Erwin Police Chief Regan Tilson)
It said 54 people were relocated to the roof of the Unicoi County Hospital, while seven were in rescue boats.
“The situation at the hospital is very dangerous and TEMA [The Tennessee Emergency Management Agency] and National Guard resources are engaged in what can only be described as a dangerous rescue operation,” Ballad Health added.
Local official Michael Baker told Sky News people are being moved from the roof “little by little”, describing the flooding as “unprecedented”.
“We’ve never seen anything like this,” he said.
Steinhatchee in the Big Bend area of Florida. Pic: Reuters
Flooding has severely damaged property in Atlanta. Pic: AP
As of early afternoon, Helene, which has been downgraded to a tropical depression, was packing maximum sustained winds of 35 mph (55 kph) as it slowed over Tennessee and Kentucky, the National Hurricane Center said.
It struck overnight with maximum sustained winds of 140 mph (225 kph) in the rural Big Bend area, the northwestern part of Florida.
The National Hurricane Center said preliminary information shows water levels reached more than 15ft above ground in that region.
US President Joe Biden has approved emergency declaration requests from the governors of several southern states affected by Helene.
Georgia, Florida, Alabama, North Carolina and South Carolina are being supported by emergency response personnel including search and rescue teams, medical support staff and engineering experts.
Georgia Governor Brian Kemp has said dozens of people are trapped in buildings damaged by the storm, with multiple hospitals in southern Georgia without power.
In western North Carolina, Rutherford County emergency officials have told residents near the Lake Lure Dam to immediately evacuate to higher ground, warning “Dam failure imminent”.
Meanwhile, Florida Governor Ron DeSantis said the damage from Helene in the area appears to be greater than the combined damage of Idalia and Hurricane Debby in August. “It’s demoralizing,” he said.
Getting around by kayak is easier than car in St Petersburg, Florida. Pic: AP
Rescue teams in Venice, Florida. Pic: Venice Police Department
Many stranded in places like Tampa could only be reached by boat, with officials warning the water could contain live wires, sewage, sharp objects and other debris.
More than four million properties are without power across Florida, Georgia, the Carolinas, Virginia, Kentucky, Tennessee and Ohio, according to the logging website, PowerOutage.
Why this hurricane season is defying forecasts
Despite Helene’s power, this hurricane season has been more remarkable for its lack of activity.
At the start of the hurricane season, which runs from 1 June to 30 November, sea surface temperatures were (and remain) off-the-charts warm.
It’s this ocean heat that fuels tropical storms.
This combined with a developing La Nina phenomenon led the US forecasters to predict 2024 would be a major hurricane season. Between 17 and 24 storms were expected, with eight to 13 developing into hurricanes.
Hurricane Beryl grazed the coast of Jamaica in July as a Category 5 hurricane. It was the earliest storm of that size ever recorded and was seen as a harbinger of the prediction. But, so far at least, it’s failed to materialise.
There have been just six hurricanes so far this year – slightly below average. But why?
It seems to be due to what’s happening on the other side of the Atlantic where ocean warming forced the African monsoon further north than usual.
This led to catastrophic flooding in central and west Africa displacing millions, but it also shifted the weather system that usually spawns hurricanes and spins them across the Atlantic.
There’s already abundant evidence our warming oceans and atmosphere are making storms more intense – but predicting where they will occur and how often is never simple – and perhaps getting even harder as our planet gets hotter.
Prior to the hurricane making landfall, officials in Florida begged residents to evacuate. The sheriff’s office in rural Taylor County issued a chilling warning to those who refused to leave.
“Please write your name, birthday, and important information on your arm or leg in a permanent marker so that you can be identified and family notified,” the post on Facebook said.
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Child and dog rescued from floods
Forecasters now expect the storm to continue weakening across Tennessee and Kentucky.
It is feared heavy rain over the Appalachian Mountains could cause mudslides and flash flooding.
Helene has made landfall in northwestern Florida as a Category 4 hurricane, with forecasters warning of a “catastrophic” storm surge.
The National Hurricane Centre in Miami said Helene struck near the mouth of the Aucilla River in the Big Bend area of Florida’s Gulf Coast at around 11.10pm local time.
High winds, possibly in excess of 140mph (225kph), and flash floods are possible, the weather service said.
Florida Governor Ron DeSantis told reporters one person had died while driving on a motorway when a sign fell on to their car.
“When Floridians wake up tomorrow morning, we’re going to be waking up to a state where, very likely, there’s been additional loss of life. And certainly, there’s going to be loss of property,” Mr DeSantis said.
Florida’s Big Bend, where Helene has made landfall. Pic: Reuters
“You’re going to have people that are going to lose their homes because of this storm. So please keep those folks in mind, keep them in your prayers.”
Two other people are reported to have been killed in a possible tornado in neighbouring south Georgia as the storm approached, the Associated Press reported.
‘Unsurvivable scenario’ to play out
More than one million homes and businesses were already without power shortly after the hurricane made landfall, according to tracking website poweroutage.
States of emergency have been declared in Florida, Georgia, and the Carolinas, with hurricane and flash flood warnings in place as far away as south-central Georgia.
Officials pleaded with residents in the path of the storm to heed mandatory evacuation orders or face life-threatening conditions.
Traffic cameras showed waves overtopping roads in St Pete Beach, Florida. Pic: Florida Department of Transportation
The surge caused by the hurricane – the wall of seawater pushed on land by hurricane-force winds – could rise as high as 20ft (6.1m) in some spots, as tall as a two-storey house, Michael Brennan, director of the hurricane centre, said in a video briefing.
“A really unsurvivable scenario is going to play out” in the coastal area, Mr Brennan said, with water capable of destroying buildings and carrying cars pushing inland. Millions of people are under the current flood watch.
Forecasters warned the storm surge could be particularly “catastrophic and unsurvivable” in Apalachee Bay.
Hurricane Helene in the Gulf of Mexico moving towards Florida. Pic: NOAA/AP
‘It’s going to cause a lot of damage’
Residents in the city of Tallahassee told Sky’s US partner NBC News that they stocked up on sandbags, food and supplies, before leaving their homes.
The city’s mayor John Dailey urged people to take the evacuation warnings “extremely seriously”, calling Helene “the biggest storm in the history of the city to hit us head-on”.
Speaking to NBC News on Wednesday, Mr Dailey said though they are “very prepared”, he was also “very nervous, and I hope everyone is nervous”.
He added: “This is a big storm. It is going to cause a lot of damage.”
Surfers taking advantage of heavy winds in Key West. Pic: Rob O’Neal/The Key West Citizen/AP
Flooding has already hit Madeira Beach, Florida. Pic: Max Chesnes/Tampa Bay Times/AP
Jared Miller, sheriff of Wakulla County, went further – calling the storm “not a survivable event for those in coastal or low-lying areas”.
The county has issued a mandatory evacuation order, but one resident, Christine Nazworth from Crawfordville, which is located about 25 miles (40km) from Apalachee Bay, said her family would be sheltering in place.
She said: “I’m prayed up. Lord have mercy on us. And everybody else that might be in its path.”
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Damage caused by Tropical Storm Helene in Puerto Juarez, Cancun, Mexico. Pic: Reuters/Paola Chiomante
Helene caused streets to flood in Guanimar, Cuba. Pic: AP/Ramon Espinosa
Leslie Powell, from Quincy, a city a similar distance from Tallahassee, told NBC she was leaving her mobile home to go to a shelter with her eight-month-old baby and six-year-old daughter.
She said simply: “I’m scared. I’ve got a lot of trees around my home, so it’s not safe for me and my kids.”
Helene is expected to remain a full-fledged hurricane as it rolls through the Macon, Georgia, area on Friday, forecasters said.
Sir Keir Starmer is to meet with Donald Trump later tonight.
It is believed to be the first meeting between the current UK prime minister and former – and potentially future – US president.
The pair are set to meet overnight UK time, which is the evening in New York, where Sir Keir is currently located while on a visit to the UN.
David Lammy, the Labour foreign secretary, has met Mr Trump‘s vice presidential candidate, JD Vance.
Speaking to journalists, Sir Keir reiterated he wanted to meet both Mr Trump and Kamala Harris ahead of the November vote.
However, meeting the Democrat is hard due to the “usual diary challenges”.
Sir Keir said: “It’ll be really to establish a relationship between the two of us.
“I’m a great believer in personal relations on the international stage.
“I think it really matters that you know who your counterpart is in any given country, and know them personally, get to know them face to face.
“So it’s really along those lines. I won’t go into what we’ll actually discuss, obviously, but that’s the purpose of it, as you’d expect, ahead of the election.”
Sir Keir is in New York at the United Nations. Pic: Reuters
Asked if a Trump presidency would leave Ukraine exposed, Sir Keir said the nature of the “special relationship” between the UK and US “always sits above whoever holds the particular office”.
“The US people will decide who they want as their president, and we will work with whoever is president,” he added.
“I’m not going to speculate on what any particular issues may be on the other side of the election.”
Speaking ahead of the meeting, Mr Trump said he thought Sir Keir was “very nice”.
He said: “I actually think he’s very nice. He ran a great race, he did very well, it’s very early, he’s very popular.”
Keep up with all the latest news from the UK and around the world by following Sky News
Mr Trump went on to praise Reform UK leader Nigel Farage as well, saying: “I think Nigel is great, I’ve known him for a long time.”
“He had a great election too, picked up a lot of seats, more seats than he was allowed to have actually.
“They acknowledged that he won but for some reason you have a strange system over there, you might win them but you don’t get them.”
This appears to be a misunderstanding of how the UK’s first past the post system for elections chooses MPs – Reform won fewer seats compared to its vote share because it came second in many seats.
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