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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.”

'Tranq dope' is causing horror on US streets

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

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The deadly drug fuelling a gang war

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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Sky News visited Kensington in Philadelphia to investigate the impact of Tranq

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‘Tranq’ designated ’emerging threat to the US’
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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
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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

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Marjorie Taylor Greene: Former Trump ally turned critic announces sudden resignation

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Marjorie Taylor Greene: Former Trump ally turned critic announces sudden resignation

Marjorie Taylor Greene – a one-time MAGA ally who has turned into a fierce critic of Donald Trump – has unexpectedly announced she is resigning from Congress.

Her relationship with the president has deteriorated in recent months, and she had vocally campaigned for the justice department to release all of its files concerning the convicted paedophile Jeffrey Epstein.

Mr Trump has been fiercely critical about Ms Greene on Truth Social – describing her as a “lunatic”.

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‘MAGA meltdown going on because of Epstein’

In a statement posted on X, she wrote: “Standing up for American women who were raped at 14, trafficked and used by rich powerful men, should not result in me being called a traitor and threatened by the President of the United States, whom I fought for.”

Ms Greene went on to confirm her last day in office will be on January 5.

The hard-right Republican was one of the most aggressive spokespeople for the Make America Great Again movement – and had become infamous for her combative encounters with journalists, including Sky’s Martha Kelner.

She was known for her susceptibility to conspiracy theories, and was widely denounced for comparing COVID-19 masks and vaccinations to the persecution of Jews during the Holocaust.

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On social media, she had made posts advocating violence against Democrat opponents – and casting doubt on the 9/11 terror attacks and the school mass shootings at Parkland and Sandy Hook.

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March: Greene clashes with Sky correspondent

The bond between Ms Greene and Mr Trump started to break down after she lambasted his foreign policy – describing it as “America Last”.

Last week, the president had announced that he was withdrawing his support and endorsement for the 51-year-old, who had been expected to run for re-election in Georgia’s 14th congressional district next November.

Her statement added: “I have too much self-respect and dignity, love my family way too much, and do not want my sweet district to have to endure a hurtful and hateful primary against me by the president we all fought for, only to fight and win my election while Republicans will likely lose the midterms.”

Read more US news:
Trump says Ukraine will have to accept peace plan
President orders release of Jeffrey Epstein files

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‘Shame on everyone that protected Epstein’

A few days ago, Ms Greene had warned the breakdown in relations with the White House had led to her construction company receiving a pipe bomb threat.

She had written on X: “President Trump’s unwarranted and vicious attacks against me were a dog whistle to dangerous radicals that could lead to serious attacks on me and my family.”

Ms Greene went on to warn his inflammatory rhetoric “puts blood in the water and creates a feeding frenzy that could ultimately lead to a harmful or even deadly outcome”.

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Pras Michel: Fugees rapper ‘who betrayed US for money’ is jailed for 14 years

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Pras Michel: Fugees rapper 'who betrayed US for money' is jailed for 14 years

A Grammy-winning rapper who “betrayed his country for money” has been sentenced to 14 years in prison.

Prakazrel “Pras” Michel, who was part of 1990s hip-hop group The Fugees, was convicted of illegally funnelling millions of dollars in foreign contributions to Barack Obama’s re-election campaign in 2012.

The Justice Department had accused the 53-year-old of accepting $120m (£92m) from Malaysian financier Low Taek Jho, who wanted to gain political influence in the US.

The Fugees after winning Grammys in 1997. Pic: Reuters
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The Fugees after winning Grammys in 1997. Pic: Reuters

Prosecutors said Michel “lied unapologetically and unrelentingly to carry out his actions” – and sought to deceive the White House, senior politicians and the FBI for almost a decade.

In 2018, it is claimed he urged the Trump administration and the justice department to drop embezzlement investigations against Low.

Michel was convicted of 10 counts by a federal jury in 2023 – and last month, he was ordered to forfeit about $65m (£50m) for his role in the scheme.

Hollywood star Leonardo DiCaprio testified at the trial, and Low was a primary financier in his 2013 film The Wolf Of Wall Street.

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The Oscar-winning actor said the businessman’s funding and legitimacy had been carefully vetted before they entered a partnership.

Low Taek Jho. AP file pic
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Low Taek Jho. AP file pic

Prosecutors had been seeking a life sentence to “reflect the breadth and depth of Michel’s crimes, his indifference to the risks to his country, and the magnitude of his greed”.

However, the rapper’s lawyer Peter Zeidenberg has argued that the 14-year term is “completely disproportionate to the offence” – and is vowing to appeal.

Last year, a judge rejected Michel’s request for a new trial after claiming that one of his lawyers had used AI during closing arguments.

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Wyclef Jean, Lauryn Hill and Pras Michel formed The Fugees in the 1990s
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Wyclef Jean, Lauryn Hill and Pras Michel formed The Fugees in the 1990s

Low Taek Jho has been accused of having a central role in the 1MDB scandal, amid claims billions of dollars were stolen from a Malaysian state fund.

The 44-year-old is a fugitive but has maintained his innocence, with his lawyers writing: “Low’s motivation for giving Michel money to donate was not so that he could achieve some policy objective.

“Instead, Low simply wanted to obtain a photograph with himself and then President Obama.”

Michel, who was born in Brooklyn, was a founding member of The Fugees with childhood friends Lauryn Hill and Wyclef Jean – selling tens of millions of records.

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Trump peace plan: We could all pay if Europe doesn’t step up and guarantee Ukraine’s security

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Trump peace plan: We could all pay if Europe doesn't step up and guarantee Ukraine's security

The Donald Trump peace plan is nothing of the sort. It takes Russian demands and presents them as peace proposals, in what is effectively for Ukraine a surrender ultimatum.

If accepted, it would reward armed aggression. The principle, sacrosanct since the Second World War, for obvious and very good reasons, that even de facto borders cannot be changed by force, will have been trampled on at the behest of the leader of the free world.

The Kremlin will have imposed terms via negotiators on a country it has violated, and whose people its troops have butchered, massacred and raped. It is without doubt the biggest crisis in Trans-Atlantic relations since the war began, if not since the inception of NATO.

The question now is: are Europe’s leaders up to meeting the daunting challenges that will follow. On past form, we cannot be sure.

Vladimir Putin, President of Russia. Pic: Sputnik/Gavriil Grigorov via Reuters
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Vladimir Putin, President of Russia. Pic: Sputnik/Gavriil Grigorov via Reuters

The plan proposes the following:

• Land seized by Vladimir Putin’s unwarranted and unprovoked invasion would be ceded by Kyiv.

• Territory his forces have fought but failed to take with colossal loss of life will be thrown into the bargain for good measure.

Ukraine will be barred from NATO, from having long-range weapons, from hosting foreign troops, from allowing foreign diplomatic planes to land, and its military neutered, reduced in size by more than half.

Donald Trump meeting Vladimir Putin in Alaska in August, File pic: Reuters
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Donald Trump meeting Vladimir Putin in Alaska in August, File pic: Reuters

And most worryingly for Western leaders, the plan proposes NATO and Russia negotiate with America acting as mediator.

Lest we forget, America is meant to be the strongest partner in NATO, not an outside arbitrator. In one clause, Mr Trump’s lack of commitment to the Western alliance is laid bare in chilling clarity.

And even for all that, the plan will not bring peace. Mr Putin has made it abundantly clear he wants all of Ukraine.

He has a proven track record of retiring, rallying his forces, then returning for more. Reward a bully as they say, and he will only come back for more. Why wouldn’t he, if he is handed the fortress cities of Donetsk and a clear run over open tank country to Kyiv in a few years?

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US draft Russia peace plan

Since the beginning of Trump’s presidency, Europe has tried to keep the maverick president onside when his true sympathies have repeatedly reverted to Moscow.

It has been a demeaning and sycophantic spectacle, NATO’s secretary general stooping even to calling the US president ‘Daddy’. And it hasn’t worked. It may have made matters worse.

A choir sing in front of an apartment building destroyed in a Russian missile strike in Ternopil, Ukraine. Pic: Reuters
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A choir sing in front of an apartment building destroyed in a Russian missile strike in Ternopil, Ukraine. Pic: Reuters

The parade of world leaders trooping through Sharm el-Sheikh, Egypt, lavishing praise on his Gaza ceasefire plan, only encouraged him to believe he is capable of solving the world’s most complex conflicts with the minimum of effort.

The Gaza plan is mired in deepening difficulty, and it never came near addressing the underlying causes of the war.

Read more:
Ukraine war latest: Putin welcomes peace plan
Trump’s 28-point Ukraine peace plan in full

Most importantly, principles the West has held inviolable for eight decades cannot be torn up for the sake of a quick and uncertain peace.

With a partner as unreliable, the challenge to Europe cannot be clearer.

In the words of one former Baltic foreign minister: “There is a glaringly obvious message for Europe in the 28-point plan: This is the end of the end.

“We have been told repeatedly and unambiguously that Ukraine’s security, and therefore Europe’s security, will be Europe’s responsibility. And now it is. Entirely.”

If Europe does not step up to the plate and guarantee Ukraine’s security in the face of this American betrayal, we could all pay the consequences.

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