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.
The chief of the Gaza Humanitarian Foundation (GHF) has called figures by the United Nations on people killed at aid hubs “disinformation”.
The UN said at least 410 Palestinians have been killed seeking food since Israel lifted an 11-week aid blockade on 19 May, while the Hamas-run Gaza health ministry said at least 549 people have been killed.
Johnnie Moore, executive director of GHF, told Sky News that there is a “disinformation campaign” that is “meant to shut down our efforts” in the Gaza Strip, fuelled by “some figures” coming out every day.
Mr Moore, an evangelical preacher who served as a White House adviser in the first Trump administration, said his aid group has delivered more than 44 million meals to Gazans since it began operations in May.
Image: Palestinians carry humanitarian aid packages distributed by the Gaza Humanitarian Foundation in Khan Younis.
Pic: AP
The controversial group, backed by Israel and the United States, has been rejected by the UN and other aid groups, which have refused to cooperate with the GHF.
The aid agencies claim Israel is weaponising food, and the new distribution system using the GHF will be ineffective and lead to further displacement of Palestinians.
They also argue the GHF will fail to meet local needs and violate humanitarian principles that prohibit a warring party from controlling humanitarian assistance.
The GHF is distributing food packages, which they say can feed 5.5 people for 3.5 days, in four locations, with the majority in the far south of Gaza.
GHF chief was ‘really political, really punchy’ in Sky News interview
It was really political, really punchy, and I think the heart of the matter here is that the Gaza Humanitarian Foundation is too political.
The principle of aid, when applied traditionally, is that it has to be applied neutrally and that is what used to happen.
Trucks would go into Gaza, and the UN would distribute that food. Israel, for a long time, said that’s not working and they blame Hamas for that.
At a briefing by the Israeli prime minister’s office yesterday, they were saying that Hamas was still looting those aid vehicles, and it was coming out with a plan to stop that. It didn’t provide evidence for that.
When we asked for evidence, they said we shouldn’t swallow Hamas disinformation. That’s a word that’s been used. That’s very, very political.
This is a different model of doing things. And that is the concern: that rather than just handing it over to a neutral body, this is too close to Israel, it’s too close to the US, and is backed financially by the US.
What does that actually imply? Well, if you’re choosing where those sites are, it means people are going to move down there if you’re not putting them in certain places.
The number of distribution sites has dwindled. It’s attenuated. And so, actually, if there are only a few and if there are any in the south of Gaza, that encourages people to move there, that might fit a political goal as well as a humanitarian one.
Thousands of Palestinians walk for hours to reach the aid hubs and have to move through Israeli military zones, where witnesses say the Israel Defence Forces (IDF) regularly open fire with heavy barrages to control the crowds.
Both figures from the UN and the Hamas-run Gaza health ministry say hundreds of people have been killed or wounded.
In response to Mr Moore’s comments, Rachael Cummings, Save the Children’s team leader in Gaza, told Sky News that people in Gaza “are being forced into the decision to go to retrieve food from the American- and Israeli-backed, militarised, food distribution point”.
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Doctors on the frontline
“We’re not contesting at all that there have been casualties in the Gaza Strip. I mean, there’s no ceasefire. This is an active conflict,” Mr Moore said.
“I think people may not understand as clearly what it means to operate a humanitarian operation on this scale, in an environment this complex, in a piece of land as small as the Gaza Strip, and may not appreciate that almost anything that happens in the Gaza Strip is going to take place in proximity to something.”
Mr Moore said that the GHF was not denying that there had been “those incidents”, but said the GHF was able to talk to the IDF, which would conduct an investigation, while Hamas was “intentionally harming people for he purpose of defaming what we’re doing”.
Image: Palestinians carry humanitarian aid packages near the Gaza Humanitarian Foundation distribution centre in Khan Younis.
Pic: AP
He said the GHF, “an independent organisation operating with the blessing of the US government”, was “achieving its aims” by feeding Gazans.
It comes after the US State Department announced on Thursday that it had approved $30m in funding for the GHF as it called on other countries to also support the controversial group delivering aid in Gaza.
A spokesperson from the UN office for the coordination of humanitarian affairs told Sky News that they are “open to any practical solutions that address the crisis on the ground” and are “happy” to talk to the GHF.
The spokeswoman added that the aid distribution in Gaza was not “currently a dignified process and that the format doesn’t follow humanitarian principles”.
She said that people have to walk for miles, and that there is no scalability, with aid not reaching everyone in need.
A man guilty of murdering nine people, most of whom had posted suicidal thoughts on social media, has been executed in Japan.
Takahiro Shiraishi, known as the “Twitter killer”, was sentenced to death in 2020 for the 2017 killings of the nine victims, who he also dismembered in his apartment near Tokyo.
His execution was the first use of capital punishment in the country in nearly three years and it was carried out as calls grow to abolish the measure in Japan since the acquittal of the world’s longest-serving death-row inmate Iwao Hakamada last year.
He was freed after 56 years on death row, following a retrial which heard police had falsified and planted evidence against him over the 1966 murders of his boss, wife and two children.
Eight of Shiraishi’s victims were women, including teenagers, who he killed after raping them. He also killed a boyfriend of one of the women to silence him.
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Justice Minister Keisuke Suzuki, who authorised Shiraishi’s hanging, said he made the decision after careful examination, taking into account the convict’s “extremely selfish” motive for crimes that “caused great shock and unrest to society”.
“It is not appropriate to abolish the death penalty while these violent crimes are still being committed,” Mr Suzuki said.
There are currently 105 death row inmates in Japan, he added.
The EU’s defence commissioner has warned Europe must be capable of building a drone army in case Russia attacks.
Military intelligence has suggested Russian forces could be ready to strike a NATO country within the next five years.
In order to defend themselves, Andrius Kubilius says Europeans will require millions of drones and need to start preparing now.
“Russia can have around five million drones, so we need to have capacities bigger than those in order to prevail,” he told Sky News, warning that if President Putin ordered an attack, the target would face a “battle-tested” Russian army with the ability to use millions of drones”.
Image: Andrius Kubilius
The 2022 invasion of Ukraine sparked a revolution in drone warfare.
Facing one of the world’s strongest militaries, the Ukrainians used the cheap, adaptable technology to their advantage.
It estimates its drone units are now responsible for 80% of Russian frontline losses.
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Image: A Ukrainian fighter carries a drone near the city of Lyman in the Donetsk region. Pic: Reuters
Mr Kubilius has visited Ukraine to learn the lessons from the battlefield.
Along the 1200km (745 miles) front line is an area nicknamed “Death Valley”.
“Nothing can move. Everything is controlled by drones. A traditional tank in that zone survives six minutes,” he explained.
This year, Ukraine’s expected to produce more than four million drones.
Image: A Russian drone attacks a building during a massive drone strike on Kyiv, Ukraine, on 17 June. Pic: AP/Efrem Lukatsky
Contemplating how many units other countries would need, the commissioner used the example of his home country of Lithuania.
The former Soviet republic shares a border of around 900km (559 miles) with Russia and Belarus.
“If Ukrainians need four million for 1200km, we need something like three million drones for one year if the war is starting, if ‘Day X’ is coming,” he said.
To try to stay ahead in the fight, both Russia and Ukraine are constantly updating their drone technology.
For this reason, the commissioner believes that rather than stockpiling drones now, which will go out of date, Europe should instead build up teams of pilots, engineers, and producers ready to scale up production should the time come.
“On the European continent, at the moment, there are only two armies battle-tested with the ability to use millions of drones: one is Russian, which is planning new aggressions; another one is Ukrainian,” said Mr Kubilius.
“We need to learn a lot from Ukraine… how to organise defences against millions of drones, and also how to make your defence industry innovative,” he added.
It’s a point many in the business agree with.
Image: Siobhan Robbins with a STARK drone and a drone pilot
German start-up STARK has been testing loitering munitions or “attack drones” ready to supply to Kyiv.
“It’s all made for easy handling for soldiers, so you don’t have to use any tools on the front line, and you just plug in the rudders,” said STARK’s senior vice president, Josef Kranawetvogl, as he quickly clicked the unit’s tail together.
He spent 18 years in the German military before making the jump to weapons production.
He says staying ahead of the enemy requires tactics and technology to be frequently updated.
“Every day you have to adapt. You have such fast development cycles in Ukraine – two or three weeks, then there’s something new upcoming and you have to be prepared for this.”
Image: STARK’s senior VP Josef Kranawetvogl
Since the start of June, Russia has repeatedly used drone swarms to attack Ukraine.
It involves hundreds of drones hammering cities in one night.
I asked Josef whether he believes NATO’s European members are ready to defend against such an attack.
“I see quite a lot of European armies starting right now to develop or to purchase unmanned systems, and it’s a good development, but it’s all about time. How can we speed up?” he replied.
Image: The drone in action
Close to the border with France, another German start-up, Alpine Eagle, is testing defence drone units for Ukraine.
“This is our interceptor drone,” explained the company’s CEO, Jan-Hendrik Boelens, holding up a prototype which looks a bit like a small black plane. The interceptor is carried underneath a large grey drone.
On-board radar means it can be fired at enemy drones up to 5km (3 miles) away.
Jan thinks that could be a game changer in an aerial battle as it means hostile units could be picked off before they get close.
And he believes NATO is unprepared if one of its countries was to be hit by a wave of drones like those in Ukraine.
“We are absolutely not ready in my view,” he said.
Image: Alpine Eagle CEO Jan-Hendrik Boelens with Siobhan Robbins
He explained that Ukraine produced around 1.3 million drones a year last year.
“I would be surprised if NATO even bought a thousand drones last year. I think Germany procured, I don’t know, 100, maybe 200. So now you do the math on what that means and how quickly you run out of drones.
“If Ukraine consumed 1.3 million drones per year, that’s 3,000 a day. So, if you have 100 in your inventory, that would not last an hour.”
A spokesperson from the German Defence Ministry said the numbers stated “do not closely reflect reality”.
“Drones are now part of everyday life for soldiers, they are omnipresent and are used extensively in service operations and training,” they added.
Image: Two Alpine Eagle drones
Drones are a key part of NATO’s defence plan.
The alliance’s leadership has repeatedly said producing, procuring, and protecting against drones is a priority.
In addition to increasing training and development, NATO Chief Mark Rutte has said he wants more investment in drone technology as well as boosting air defences fivefold.
“We see Russia’s deadly terror from the skies over Ukraine every day, and we must be able to defend ourselves from such attacks,” he told an audience at the summit.
Image: NATO chief Mark Rutte
Lessons from Ukraine have prompted members to embrace unmanned technology in various ways.
Britain is one of the countries pledging to put drones front and centre of its new defence plan.
Earlier this month, the government’s Strategic Defence Review outlined a new way forward for British Army warfighting based around a drone-centric 20-40-40 strategy where uncrewed systems are deployed for first wave attacks, before tanks, attack helicopters and other manned platforms arrive on the battlefield.
In essence, the new weapons mix would be 20% traditional heavy platforms (like tanks), 40% single-use expendable drones and munitions, and the remaining 40% reusable, high-end drones.
It’s been confirmed that an extra £2bn will be spent on army drones this parliament.
Defence Secretary John Healey said Britain’s adversaries were working more in alliance and technology was changing how war was fought.
“Drones now kill more people than traditional artillery in the war in Ukraine and whoever gets new technology into the hands of their armed forces the quickest will win,” he said.
Image: Defence Secretary John Healey
This week, the prime minister announced a deal with Ukraine to co-produce drones.
Germany and Denmark have made similar agreements with the German Ministry of Defence, telling Sky News that drones are a top priority.
In a drone showroom in central Berlin, we meet Sven Weizenegger, head of the German military’s cyber innovation hub.
He said they have noticed a boom in pitches from potential suppliers.
Every day, his department receives up to 20 enquiries from companies asking how their products could be used by the military.
Image: A tank after being hit by a STARK drone on a testing field
He believes things need to move more quickly so soldiers get weapons faster.
“We are very advanced in the innovation process. That means we have a lot of ideas and many companies that are ready to deliver,” he explained. “Unfortunately, what we are not good at right now, due to our current processes, is getting these things into real operations, into frontline use. We need to fix that.”
Germany has promised to turbo-charge defence spending, with the Chancellor pledging to create the “strongest conventional army in Europe”.
Plans announced this week include boosting unmanned systems and air defences.
The German Ministry of Defence said it couldn’t reveal stock levels due to security, but a spokesperson confirmed the country is investing in a range of different units, including signing two contracts for attack drones.
“We are procuring not just a few but quite large quantities and testing them directly with the troops,” the spokesperson added.
However, they agreed with the EU defence commissioner that rather than stockpiling tech which would go out of date, it was better to have a system in place to allow for large quantities to be made quickly in the event of war.
In May, the EU approved a €150bn (£125bn) loan scheme to boost defence production across the bloc.