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.
Until five weeks ago, Arturo Suarez was a professional singer, performing in the United States as he waited for his asylum claim to be processed.
Originally from Venezuela, he had entered the US through proper, legal channels.
But he is now imprisoned in a notorious jail in El Salvador, sent there by the Trump administration, despite seemingly never having faced trial or committed any crime. The White House claims he is a gang member but has not provided evidence to support this allegation.
His brother, Nelson Suarez, told Sky News he believes his brother’s only “crime” is being Venezuelan and having tattoos.
Image: Arturo Suarez, in a music video, is now in a notorious prison in El Salvador
“He is not a gang member,” Nelson says, adamantly, “I’ve come to the conclusion that it has to be because of the tattoos. If you don’t have a criminal record, you haven’t committed any crime in the United States, what other reason could there be? Because you’re Venezuelan?”
Arturo, 34, was recording a music video inside a house in March when he was arrested by immigration agents.
He was first taken to a deportation centre in El Paso, Texas, and then, it appears, put on to a military flight to El Salvador.
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Image: Nelson Suarez insists his brother Arturo is not a gang member
His family have not heard from him since. Lawyers and immigrant rights groups have been unable to make contact with any of the more than 200 Venezuelan men sent to the CECOT prison, which holds members of the MS-13 and Tren de Aragua gangs.
Tattoo clue to Arturo Suarez’s whereabouts
Nelson learned his brother is – most likely – in CECOT only because of a photograph he spotted on a news website of a group of inmates, with their hands and feet cuffed, heads shaved and bodies shackled together.
Image: A group of inmates are processed to be imprisoned in the CECOT jail in EL Salvador. Pic: Reuters
Image: Nelson Suarez believes this is his brother Arturo Suarez due to his distinctive hummingbird tattoo. Pic: Reuters
“You can see the hummingbird tattoo on his neck,” Nelson says, pointing to the picture. He says Arturo wanted a hummingbird in memory of their late mother. Arturo has 33 tattoos in total, including a piano, poems and verses from the Bible.
It could be that one, or more, of those tattoos landed him at the centre of President Trump’s anti-immigration showpiece. Nelson shows me documents which indicate that Arturo did not have a criminal record in Venezuela, Chile, Colombia or the United States, the four countries he has lived in.
Sky News contacted the White House, the Department of Homeland Security (DHS), and Immigration and Customs Enforcement (ICE) for a response to Arturo’s case but have not heard back.
In March, Donald Trump signed the Alien Enemies Act, a law from 1798 which has been invoked just three times before, in wartime.
It allows the president to detain and deport immigrants living legally in the US if they are from countries deemed “enemies” of the government. In this instance, Mr Trump claimed the Venezuelan gang Tren de Aragua had “infiltrated the United States” and was “conducting irregular warfare”.
Image: Alleged gang members imprisoned in the CECOT jail in El Salvador. Pic: Reuters
Gang symbol tattoos
Immigration officials have centred on certain tattoos being gang symbols. Immigration officers were provided with a document called the “Alien Enemy Validation Guide”, according to a court filing from the American Civil Liberties Union. The document provides a point-based system to determine if an immigrant in custody “may be validated” as a gang member.
Migrants who score six points and higher may be designated as members of the Tren de Aragua gang, according to the document. Tattoos which fall under a “symbolism” category score four points and social media posts “displaying” gang symbols are two points. Tattoos considered suspicious, according to the document, include crowns, stars and the Michael Jordan Jumpman logo.
Jerce Reyes Barrios’s story
Another of the men sent to CECOT prison is 36-year-old Jerce Reyes Barrios, who fled Venezuela last year after marching in anti-government protests. He is a former footballer and football coach.
His lawyer, Linette Tobin, told Sky News that Reyes Barrios entered the US legally after waiting in Mexico for four months for an immigration appointment and then presenting himself at the border.
Image: Jerce Reyes Barrios
She says he was detained in a maximum security prison in the US while awaiting his asylum appointment. But before that appointment happened, he was flown to the El Salvador prison.
Ms Tobin says the DHS deported Reyes Barrios because they designated him a Tren De Aragua gang member based on two pieces of evidence.
The first, she says, is a tattoo of the Real Madrid football team logo surrounded by rosary beads. She has since obtained a declaration from the tattoo artist stating that Reyes Barrios just wanted an image which depicted his favourite team.
Image: Jerce Reyes Barrios’s lawyer says he has a tattoo of the Real Madrid logo surrounded by rosary beads
The second piece of evidence, she says, is a photograph, which she shows me, of Reyes Barrios in a hot tub with friends when he was a college student 13 years ago.
He is making a gesture which could be interpreted as “rock and roll”, but which she says has been interpreted as a gang symbol.
Image: Lawyer Linette Tobin says this gesture has been interpreted as a gang symbol
Distraught family in despair
Reyes Barrios has no criminal record in his home country. “I’ve never known anything like this,” Ms Tobin says.
“My client was deported to a third country and we have no way of getting in touch with him. His family are distraught and in despair, they cry a lot, not knowing what is going on with him. We want him returned to the United States to have a hearing and due process.”
Ms Tobin says she and other lawyers representing men sent to the El Salvador prison are trying to establish a UN working group on enforced disappearances to do a wellness check on them because the prison is completely “incommunicado”.
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17 March: US migrants deported to El Salvador
Sky News contacted the DHS for comment about Reyes Barrios’s case but did not receive a response. The DHS previously issued a statement declaring that “DHS intelligence assessments go well beyond just gang-affiliated tattoos. This man’s own social media indicates he is a member of Tren de Aragua”.
Reyes Barrios has an immigration hearing scheduled for 17 April, Ms Tobin says, which the Trump administration is trying to dismiss on the grounds that he is not in the US anymore.
In the meantime, children he used to coach football for in his hometown of Machiques in Venezuela have been holding a prayer vigil for him and calling for his release.
The secretary of the DHS, Kristi Noem, visited CECOT last month and posed for photos standing in front of inmates behind bars.
Image: Department of Homeland Security secretary Kristi Noem visited CECOT in March. Pic: Reuters
“Do not come to our country illegally,” she said, “you will be removed, and you will be prosecuted.” Donald Trump had promised during his election campaign to clamp down on immigration, railing against undocumented immigrants and claiming immigrants are “poisoning the blood of our country”.
I ask Arturo Suarez’s brother, Nelson, how he felt watching Ms Noem posing in the prison, knowing that his brother might be close by.
“I feel bad,” he says, “I feel horrible, because in those images we only see criminals. With my brother, I feel it is more a political issue. They needed numbers, they said, these are the numbers, and now, let’s throw them to the lions.”
Image: Kilmar Abrego Garcia. Pic: AP
Kilmar Abrego Garcia’s story
The Trump administration has admitted that at least one man sent to the El Salvador jail was sent by “administrative error”. Kilmar Abrego Garcia, who was living in Maryland, was sent to CECOT despite a judge’s earlier ruling in 2019 that granted him legal protection to stay in the US.
The White House has alleged Garcia is an MS-13 gang member, but his lawyers argued there is no evidence to prove this.
A federal judge has ordered Garcia must be returned to the US by Monday 7 April. In a post on X, White House deputy chief of staff Stephen Miller referred to the judge as a “Marxist”, who “now thinks she’s president of El Salvador”.
White House press secretary Karoline Leavitt said: “We suggest the judge contact President Bukele because we are unaware of the judge having jurisdiction or authority over the country of El Salvador.”
Israeli airstrikes have killed more than 30 people in Gaza, including over a dozen women and children, local health officials have said.
Strikes overnight into Sunday hit a tent and a house in Khan Younis, killing five men, five women and five children, according to Nasser Hospital, which received the bodies.
Later on Sunday, at least two people were killed, and six others injured when an Israeli airstrike hit a tent in Khan Younis located outside the Nasser hospital, which was being used as a base by a number of journalists.
A number of them were among the injured, according to hospital officials.
Footage showed a journalist being engulfed by flames after his tent was hit by an airstrike. He is reported to be in a critical condition.
Image: On Sunday, at least two people were killed, and six others injured when an Israeli airstrike hit a tent in Khan Younis which was being used as a base by a number of journalists. Pic: AP
Image: Pic: AP
Image: Pic: AP
Israeli shelling killed at least four people in the Jabaliya refugee camp, according to Gaza’s Hamas-run Health Ministry.
The bodies of seven people, including a child and three women, arrived at Al Aqsa Martyrs Hospital in Deir al Balah, according to an Associated Press journalist there.
And a strike in Gaza City hit people waiting outside a bakery, killing six, including three children, according to the civil defence, which operates under the Hamas-run government.
Last month, Israel ended its ceasefire with Hamas and restarted its air and ground offensive.
It has carried out waves of strikes and seized territory in an attempt to pressure Hamas to accept a new deal for a truce and release the remaining hostages.
It has also blocked the import of food, fuel and humanitarian aid for over a month.
“Stocks are getting low and the situation is becoming desperate,” the United Nations agency for Palestinian refugees said on social media.
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Israel ‘seizing territory’ in Gaza
On Sunday night, Israel’s military ordered Palestinians to evacuate several neighbourhoods in Gaza’s Deir al Balah shortly after around 10 projectiles were fired from Gaza.
The military said around five were intercepted, and Hamas’s military arm claimed responsibility.
Police said a rocket fell in Ashkelon, an Israeli city just to the north of Gaza, and fragments fell in several other areas.
The Magen David Adom emergency service said one man was lightly injured, and the military later said it struck a rocket launcher in Gaza.
Image: A woman bakes bread in an oven in Gaza City. Pic: Reuters
Netanyahu visits Trump
It comes as Israeli Prime Minister Benjamin Netanyahu heads to the United States to meet with Donald Trump to discuss the war.
Mr Netanyahu said the pair would also discuss the new 17% tariff imposed on Israel as part of Mr Trump’s sweeping new tariffs.
“There is a very large queue of leaders who want to do this with respect to their economies. I think it reflects the special personal connection and the special connection between the United States and Israel, which is so vital at this time,” Mr Netanyahu said during a visit to Hungary.
The war between Israel and Hamas began when Hamas-led militants invaded Israel on 7 October 2023 and killed around 1,200 people and took 251 hostage.
Some 59 hostages are still being held in Gaza, with 24 still believed to be alive.
Israel’s offensive has killed at least 50,695 Palestinians, according to Gaza’s Hamas-run health ministry, which does not differentiate between civilians or combatants, with another 115,338 wounded.
Israel says it has killed around 20,000 militants.
Marine Le Pen made one thing abundantly clear. She is not going quietly.
She may have been disgraced in a Paris courtroom, convicted of embezzlement, sentenced and barred from office for five years.
But there was no sense of shame or regret in her speech to the party faithful. Nor would you expect there to be. She is the victim of an establishment stitch-up, she believes, or claims to, and the crowds watching her speak in the French capital heartily agreed.
The hard-right National Rally party’s leader was found guilty of being part of a huge and orchestrated campaign to swindle the European parliament and its taxpayers, using phony accounts to raise millions.
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Le Pen invokes Martin Luther King Jr
The judge in the case saw a politician who had long campaigned for tougher penalties for corrupt politicians and decided it only fitting to throw the book at her.
For political foes, watching their most feared enemy sent off the pitch, is all very welcome. Former prime minister Gabriel Attal told supporters at another rally she stole money and should do the punishment.
But even Le Pen’s rivals are queasy about the five-year ban from office. Some legal observers believe the judge went too far.
Whatever the rights or wrongs of the case, it does nothing to ease the country’s political crisis.
Nothing to address the festering sense of un-enfranchised grievance on the fringes of society that helped propel Le Pen to such popularity in the first place.
Image: Jordan Bardella, National Rally’s president, spoke at the same event. Pic: Reuters
And other populists in France and abroad are exploiting this as a cause celebre for all it’s worth.
Populists see society divided between “the people” and corrupt elites governing them.
Le Pen’s plight fits their narrative perfectly. Not surprisingly, her speech was preceded by a series of short videos from other rightist populists, from Mateo Salvini in Italy to Geert Wilders in the Netherlands.
In America, Donald Trump and his ally Elon Musk have also pitched in.
Le Pen may have been banished into the political wilderness but can still cause enormous trouble from there.