In this neighbourhood, people openly inject the ‘zombie drug’ Tranq on every street corner
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.
It didn’t take long. Seconds. He trailed off. A mumble.
Then nothing. His body stooped.
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.
Christophe injected Tranq while speaking to Sky News
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.
Read more:
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Christophe eventually passed out
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.
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.
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.
“Sorry,” he said. He wanted to finish his story.
An end to the longest US government shutdown in history is one step closer after Senate Democrats broke with their party to strike a deal with the Republicans.
Senators backed by 60 votes to 40 legislation to end the impasse, though it still needs approval from the House of Representatives – and sign-off by President Donald Trump.
He has indicated he is happy with the agreement, though, which would restore funding for federal agencies that have gone without since 1 October.
It would also prevent any further layoffs until 30 January, but does not satisfy Democrat demands regarding health care insurance for millions of Americans.
Attractions across the US have been closed. Pic: AP
Health care was at the heart of the dispute that led to the shutdown.
The Democrats had refused to support a Republican budget plan unless tax credits that made medical insurance cheaper for millions of people were renewed.
The willingness of eight moderate Democrats to break the Senate deadlock without that guarantee has provoked fury among many in the party.
Some are now calling on Senate Minority Chuck Schumer to be replaced because he is “no longer effective”.
California Governor Gavin Newsom – regarded as a contender for the 2028 Democratic presidential nomination – said: “Pathetic. This isn’t a deal. It’s surrender.”
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The shutdown has caused extensive travel disruption. Pic: Reuters
On Monday morning, Republican Senate Majority Leader John Thune had urged politicians to work together to break a stalemate that had lasted for more than 40 days.
He said: “The American people have suffered for long enough. Let’s not pointlessly drag this bill out.”
The shutdown began on 1 October – with 670,000 federal government employees furloughed or left with no choice but to work without pay.
SNAP, a food aid programme used by 42 million Americans, has been frozen – with thousands of flights cancelled at dozens of major airports.
Mr Trump has told air traffic controllers to get back to work, threatening anyone who doesn’t with “docked” pay.
The funding package now heading to the House of Representatives only lasts through to 30 January, making it a relatively short-term solution that will require further negotiation.
Donald Trump has threatened to sue the BBC for $1bn over edits the organisation made last year to one of his speeches.
The organisation has been engulfed in a crisis, forced to apologise on Monday after two of its most senior figures, including the director-general, resigned on Sunday night.
The defamation claim centres around a BBC Panorama documentary, which aired October 2024 and showed an edited speech made by Mr Trump before the attack on the US Capitol on 6 January 2021, in which he appeared to tell his supporters he was going to walk with them to the US Capitol and “fight like hell”.
In a letter dated 9 November, Florida-based lawyer Alejandro Brito set the BBC a deadline of 10pm UK time on Friday to respond, outlining three demands:
• Issue a “full and fair retraction” of the documentary
• Apologise immediately
• “Appropriately compensate” the US president
He told the BBC it needed to “comply” or face being sued for $1bn.
A BBC spokesperson said: “We will review the letter and respond directly in due course.”
‘Error of judgement’
On Monday, BBC chairman Samir Shah, one of the most senior figures still standing, apologised for the “error of judgement” in editing the video.
In a letter to the Culture, Media and Sport Committee of MPs, Mr Shah said Mr Trump’s speech was edited in a way that gave “the impression of a direct call for violent action”.
“The BBC would like to apologise for that error of judgement,” he added.
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BBC admits Trump documentary ‘mistake’
Director-general and head of BBC News resign
Concerns about the edited speech first came to light in a leaked memo from Michael Prescott, a former journalist and independent adviser to the BBC’s Editorial Guidelines and Standards Board.
As a result, BBC director-general Tim Davie and BBC News chief Deborah Turness announced their resignations on Sunday evening, saying in emails to staff that mistakes had been made.
Mr Davie will address an all-staff meeting on Tuesday. While on her way into the Broadcasting House on Monday morning, Ms Turness defended the corporation, rejecting accusations of institutional bias.
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Trump’s claims of ‘corrupt’ BBC journalists rejected
Downing St stands by BBC – but chancellor says ‘lessons to be learned’
A spokesperson for the prime minister told reporters on Monday that the BBC wasn’t corrupt or institutionally biased.
Instead, they said it had a “vital role” to play in the modern age, but needed to ensure it acted “to maintain trust and correct mistakes quickly when they occur”.
Chancellor Rachel Reeves also stood by the corporation, but said that “lessons do need to be learned”.
‘Nothing but an apology’
Veteran broadcaster and former BBC presenter Jonathan Dimbleby told Sky News, however, that the organisation owed the US president nothing more than an apology.
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‘These are very serious times for the BBC’
But former legal correspondent for the BBC Joshua Rozenberg also told Sky News that he believed the corporation would “very likely” consider settling with Trump.
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BBC ‘very likely to consider settling with Trump best thing to do’
Read more:
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Who is the man at the centre of the leaked BBC memo?
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Mr Trump’s attack on the BBC is the latest in a long string of multibillion-dollar battles he’s engaged with various media institutions.
Former al Qaeda commander and now Syrian leader Ahmed al Sharaa has been welcomed by Donald Trump to the White House.
It was the first visit to the Oval Office by a Syrian head of state since the country gained independence in 1946.
Mr Sharaa, 43, who once had a $10m US bounty on his head, led rebel forces that overthrew dictator Bashar al-Assad last December, and was named interim leader in January.
The US president called Mr al Sharaa a “very strong leader” after their meeting and suggested the US would work to help the country succeed.
“He comes from a very tough place,” Mr Trump said, adding Mr al Sharaa is a “tough guy” and “I like him”.
Mr Sharra has “had a rough past”, but added, “we’ve all had a rough past”, he added.
Trump shared a picture of the two leaders on social media. Pic: Truth Social
Mr Trump has become one of the Syrian president’s more enthusiastic backers, considering the nation of strategic importance.
He didn’t provide any policy details about the meeting, but said “we’ll do everything we can to make Syria successful because that’s part of the Middle East”.
Read more: Why this meeting is a big deal
Trump and al Sharaa appeared to get on well. Pics: AP
‘What the hell are we doing?’
Mr al Sharaa was greeted by a cheering crowd of supporters, some waving Syrian flags, upon his arrival on Monday.
But not everyone was overjoyed at the historic meeting.
Far-right activist Laura Loomer, a self-proclaimed “Islamophobe” who wields influence in Mr Trump’s MAGA movement, posted on X that Mr al Sharaa was “the ISIS ‘President’ of Syria”.
“What the hell are we doing?” she wrote of his White House visit.
Days before the meeting, Mr Trump told reporters “a lot of progress has been made” on Syria and Mr al Sharaa was “doing a very good job”.
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al Sharaa waves as he greets supporters outside the White House. Pics: AP
Last week, the US voted to lift a series of sanctions on the Syrian president and members of his government.
Mr al Sharaa is hoping for a permanent repeal of sanctions placed on Syria for allegations of human rights abuses by Assad’s government and security forces – but congressional action would be needed for a permanent repeal.
Mr Trump and Mr al Sharaa first met in May in Saudi Arabia. At the time, the US president described Mr al Sharaa as a “young, attractive guy. Tough guy. Strong past, very strong past. Fighter”.
Monday’s meeting came after Syria launched raids against Islamic State cells.
It was the first official encounter between the US and Syria since 2000, when then president Bill Clinton met Hafez Assad.
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