After just 15 minutes on the streets of Philadelphia’s Kensington neighbourhood, an encounter that was everything.
It was illustrative of a crisis out of control, it was reflective of a profound personal struggle, it was instructive of the power of addiction, and it was deeply, deeply sad.
“I really didn’t have anybody taking me seriously,” Christophe said to me as he explained why he was where he was.
“I was this young guy, a semi-pro athlete.”
He explained how it had all begun with an injury.
Painkillers, prescribed at first, then self-medicated. Then illicit opioids. Now this new drug, Tranq.
He was fluent, eloquent, thoughtful, and as he told me his truncated life story, he was injecting himself in the left arm.
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It didn’t take long. Seconds. He trailed off. A mumble.
Then nothing. His body stooped.
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The hit had hit. He was almost out. He stumbled over to the curb and slumped down. Less than a minute later, he was unconscious.
Image: Christophe injected Tranq while speaking to Sky News
Image: Christophe slumped to the floor after his hit
I was last here in Philadelphia in February.
We’d gone then to investigate a new street drug which was leaving the most horrific wounds on those who use it. What we found then was shocking, devastating and truly depressing.
I’ve come back now because there’s news that the story of the so-called “zombie drug” has taken a turn.
America’s top drug prevention officials have been analysing nationwide data to see if this new drug, which had first emerged in these Philadelphia streets, is actually more widespread than they had thought.
What they have discovered is alarming.
New analysis of data stretching back to 2019 now shows a jump in Xylazine-related deaths of 276% nationwide. Deaths are more than doubling every year across America.
The drug, a cattle tranquiliser that is mixed by dealers into the existing opioid street drug supply, has now been detected in 48 of the 50 US states. Less than a year ago, they thought it had only been found in Philadelphia.
Regular unadulterated opioids are already killing more than 100,000 Americans every year. So news that xylazine is now so widespread is devastating for users, for volunteers and for the authorities who by our judgment have no control of this crisis.
In Philadelphia, I wanted to see how the users and volunteers I’d met back in February were doing and what they made of a major new “action plan” that President Biden has asked his officials to initiate.
Before Christophe had succumbed to his latest hit, he had seemed encouraged by the news from the White House.
Access to addiction treatment was key, he’d said.
Our guide through these dangerous streets was Ronnie Kaiser, who runs the charity Angels in Motion. She’d shown us around back in February and was keen to do so again.
I watched as she checked on Christophe.
“He has a pulse. He’s not overdosing at the moment,” she said.
The hopelessness here is breathtaking. There are people openly injecting on every street corner; far more than back in February, for sure.
Image: Ronnie checks Christophe after he injects Tranq
Their addiction is more powerful than the recognition to treat the wounds which appear all over their bodies. Access to treatment – both physical and mental – is so hard. And there is so little in the way of a safety net in America.
“It’s gotten worse,” Ronnie said as we drove past one group of people, all unconscious.
Users must navigate America’s complex and expensive health system if they are to stand a real chance of recovery.
The government’s national plan involves access to prevention, harm reduction treatment and recovery support, as well as bold actions to disrupt the supply from China via Mexico.
“I’m glad they’re finally implementing something. I just hope that the implementation is fast enough and it’s the correct one. Most people here have either mental health or trauma that’s been in their life,” Ronnie told me.
She pointed to the perennial American problem of medical insurance and the “for profit” medical facilities.
“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.
Officials in the Biden administration do seem to be recognising the scale of the problem, but now with such profound challenges facing them.
Image: Dr Rahul Gupta is the White House’s drug policy lead
Joe Biden’s director of national drug control policy, Dr Rahul Gupta, agreed to talk to us.
“On the streets here it looks like failure,” I said to him. “It looks like you have not remotely got a grip of the crisis here in Philadelphia and across the country.”
He conceded: “I think what you’re seeing and what I have seen on the streets of Philadelphia, specifically on Kensington Avenue, is an example of what does happen when we are not implementing those policies.”
“What I’ve seen is so much suffering. A lot of the people do not have homes. A lot of the people need help in an urgent way,” Dr Gupta said.
But he insisted the changes are having an impact: “The policy change that has occurred with prioritising harm reduction, prioritising treatment, meeting people where they are is working.”
Christophe took a few minutes to come around. The hits are intense, but they are short and, of course, highly addictive.
England have booked their place in the semi-finals of the Women’s Euros after knocking out Sweden.
The Lionesses won 3-2 on penalties at Stadion Letzigrund in Zurich, Switzerland, after clawing their way back to take the game into extra-time.
The defending champions had been 2-0 down at half-time after goals from Sweden’s Kosovare Asllani and Stina Blackstenius in the quarter-final clash.
England then levelled matters towards the end of normal time. Lucy Bronze delivered the first England goal on 79 minutes, assisted by substitute Chloe Kelly. Two minutes later, Michelle Agyemang followed suit, taking the score to 2-2.
Image: England goalkeeper Hannah Hampton (R) celebrates with teammates after the side beat Sweden. Pic: AP
After a goalless extra-time, it was time for penalties.
Alessia Russo kicked things off, finding the back of the net for England, before Lauren James, Alex Greenwood, Beth Mead and Grace Clinton had their attempts saved by Sweden’s Jennifer Falk.
The game was sent into sudden death after Falk went face-to-face with England’s Hannah Hampton but sent the ball flying over the crossbar.
Image: Pic: Reuters
Image: A devastated Sweden. Pic: Reuters
It all came down to Sweden’s seventh penalty after Bronze sensationally scored, with 18-year-old Smilla Holmberg missing the chance to send her team through.
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England will next face Italy in the semi-finals in Geneva on Tuesday.
‘That was crazy’
England boss Sarina Wiegman described the action as “one of the hardest games I’ve ever watched”.
Image: Sarina Wiegman after the match. Pic: Reuters
“We could have been out of the game three or four times, when you’re 2-0 at half-time it’s not good,” she said after the match.
“Although we started really bad, at the end it got better, but we didn’t create anything so we had to change shape, and we score two goals – that was crazy.
“We miss a lot [of penalties], and they miss even more. I need to decompress, I think.”
Image: Hannah Hampton still delivered with one nostril down. Pic: Reuters
Goalkeeper Hampton added that it was “stressful watching” and “stressful playing”.
The 24-year-old, who was left with a bloodied nose in extra-time, said: “Every time I saved one, I was just thinking ‘please put it in, so we have a bit of a cushion!’
“To be honest, I think I was better in the game when I had one nostril than when I was completely fine!”
She said it was the support of the England fans that helped the team push on. She said: “They were definitely behind me and I appreciate all the support.”
Image: Michelle Agyemang reacts after levelling the game for the Lionesses. Pic: Reuters
Their journey in the group stages started with a 2-1 defeat to France, but hopes were lifted after England sailed past the Netherlands and Wales to reach the knockout stages, finishing second in Group D.
Sweden on the other hand went into Thursday’s game unbeaten in the tournament so far, having already defeated Germany, Poland and Denmark in the group stages.
By the time Hannah Hampton appeared in the news conference, the England goalkeeper was relieved, ecstatic and wanting to share this night far and wide.
So when her phone started ringing with a FaceTime call, she broke off speaking to the media about reaching the Euros semi-finals to answer it.
And then share the call with the room in Zurich.
After such a nerve-shredding night, this was the moment to relax and just savour it all.
Savour how close they came to throwing it all away against Sweden before staging a stirring comeback inspired by Lucy Bronze.
The 33-year-old scored the goal that began the fightback with 11 minutes to go and converted England’s final penalty in the shootout.
Image: Lucy Bronze converted England’s final penalty. Pic: Reuters
“Lucy Bronze is one of a kind,” England manager Sarina Wiegman said. “It’s that resilience, that fight. I think the only way to get her off the pitch is in a wheelchair.”
The Lionesses looked down and out, 2-0 down after 25 minutes.
Completely outplayed. A defence run ragged. Just too sloppy.
“We said at half-time we don’t want to go home,” Hampton said. “So it’s up to us to turn the game around.”
Image: Things were not looking good for England by half-time. Pic: Reuters
Image: But the team managed to turn things around. Pic: Reuters
That only came after Wiegman deployed the substitutes the manager calls “finishers”.
They fulfilled their mission.
“Sweden in that moment had to adapt to some different things in the game,” Wiegman said, “before they could, it was 2-2.”
Within seconds of coming on, match-winner Chloe Kelly showed the missing spirit. The spirit that saw her score the Euro 2022 winner.
Image: Pic: Reuters
A creator of two goals in 103 seconds.
A cross headed in with 11 minutes to go by Bronze – the only player still playing from the Euro 2013 group-stage elimination.
It was a lifeline seized on so quickly.
Another cross from Kelly was this time brought down by Beth Mead before Michelle Agyemang.
The timeliest of goals from the teen – a first tournament goal on her third appearance as a sub.
Image: Teenager Michelle Agyemang reacts after scoring England’s second goal in normal time. Pic: Reuters
But there would be the anxiousness of extra time to follow, unable to find a breakthrough.
So to the shootout that lasted 14 penalties between them.
Hampton said: “It was stressful watching and playing, I thought every single time when I saved one, ‘Please score and give us a cushion’. I feel so happy and relieved.”
Around Alessia Russo and Kelly scoring there were four England misses before Bronze converted England’s seventh and Sweden missed a fifth.
Felix Baumgartner, the extreme athlete who once jumped from the edge of space, has died in a paragliding crash in Italy.
The 56-year-old Austrian lost control of his motorised paraglider while flying over Porto Sant’Elpidio in the central Marche region.
He then fell to the ground near the swimming pool of a hotel. The reasons for the accident were unclear.
According to reports, he fell ill and lost control.
Image: Pic: AP
During the fall, he is thought to have hit a hotel employee, who was taken to hospital with neck injuries, according to Sky Sports Austria.
She was reportedly injured by a piece of debris that had been dislodged during the vehicle’s impact.
The mayor of Porto Sant’Elpidio, Massimiliano Ciarpella, offered the town’s condolences for the death of “a symbol of courage and passion for extreme flights”.