Charlotte, not her real name, wanders back and forth with her empty coffee cup held out towards the tide of commuters coming through the barriers.
Rush hour at Whitechapel underground station is the best time of day for the small, frail, 23-year-old to earn enough change to pay for her next hit.
She’s agitated, but for the briefest moment agrees to talk. I ask if any symptoms from her drug use have changed recently. “I’ve got holes in my legs,” she says. “There’s no skin, just holes. It’s painful.”
Image: Synthetic opioids seized by officers. Pic: Met Police
Her legs are bandaged. She says the strange bores in her flesh have only appeared in the last few months and is unsure why.
But drug charity workers are convinced this is a symptom of a terrifying evolution in the drug market – a growing prevalence of dangerous synthetic opioids being cut into drugs like heroin.
The deadliest, nitazenes, are the newest killer on the streets.
“I’m seeing people coughing up blood. I’m seeing people dying,” says crack cocaine user Rory, who we meet in Aldgate in East London.
More on Opioids
Related Topics:
“Any drug you are buying off the street you’re taking a risk. These people are in it for the money and the purer it is, the less they make – so they are putting other stuff in it.”
Image: Crack cocaine user Rory
The opioid fentanyl is 50 times stronger than heroin and is the primary drug in North America, where synthetic opioids are estimated to have caused 75,000 deaths in the US last year.
Advertisement
Nitazenes have similar properties to fentanyl, but can be up to 300 times stronger than heroin. Only this week, several have been classified as Class A drugs.
First detected in the UK from a sample of white powder found in the back of a taxi in Wakefield in April 2021, nitazenes have since been found in heroin, cannabis, cocaine, in a vape and most prevalently in black market pills sold as the anti-anxiety drug diazepam.
‘Substantial risk of overdose, hospitalisation, and death’
In October, a police raid on a “sophisticated factory” in Waltham Forest recovered approximately 150,000 nitazene tablets, the largest-ever recovered stash of synthetic opioids. Eleven people were arrested.
Detective Superintendent Helen Rance, who is leading the investigation, said: “Synthetic opioids have been detected in batches of heroin found in London and across the UK; they substantially raise the risk of incredibly serious harm to the user and are believed to be linked to a number of deaths.”
Recently, the opioid is thought to have been cut into a batch of drugs in Dublin, causing 57 people to overdose within a few days.
Professor Eamon Keenan, from the Health Safety Executive, said: “These pose a substantial risk of overdose, hospitalisation, and death.”
Meg Jones, director of social justice charity Cranstoun, said: “We are seeing nitazenes pop up in pockets all over the UK and it is incredibly concerning.”
She added: “There are an increasing number of synthetic opioids being detected in drugs that people thought were very different. We need to see government action quickly on this, because we are sleepwalking into what I would deem to be a public health crisis, and we are not prepared for it in the UK at all.”
Action means more testing and provision of drugs that can counter the effects of opioid overdose.
Taliban crackdown means drugs produced in UK are more deadly
Outreach worker Abdirahim Hassan, founder of East London community group Coffee Afrik, agrees. He showed me a video of a young woman who appears to have overdosed. She is slumped unconscious on the pavement in Whitechapel.
Image: Outreach worker Abdirahim Hassan
Her body is in the prayer position, her torso flat over her knees, her face pressed against the ground. “She’s just frozen. Her eyes are closed, and people are just walking past,” said Abdirahim. “She’s a young woman, maybe 24, somebody’s daughter.”
Abdirahim said a crackdown on heroin production by the Taliban has successfully stemmed the flow of heroin from Afghanistan which had previously provided 95% of the UK heroin market. That’s led to a boom in the easier to produce, more deadly synthetics.
“What it means is there’s a much higher risk of overdose and death,” he said. “But it’s a cheaper product and more potent so people are in greater crisis and there is not enough testing.”
Birmingham also saw a spike in the detection of nitazenes. Sky News was given access to a unique project in West Midlands police cells, run by the charity Cranstoun.
Steve Whitby is a drug and alcohol worker who visits suspects in their cells. The idea is that drug rehabilitation services reach out to offer support to addicts while they are in police custody.
Image: Drug and alcohol worker Steve Whitby is interviewed by Farrell
On one cell visit, Steve warns an addict, who is also a suspected shoplifter, about the dangers of nitazenes. He told him: “So these are synthetic drugs that dealers are putting into heroin – but it’s causing lots of people to die from overdose.”
He told the man he shouldn’t take drugs alone and that he will leave a kit with his belongings which includes two syringes of naloxone, an antidote of opioid overdose. He explained the man will have to teach whoever is with him how to use it.
Image: Naxolone is a treatment for people who have overdosed
This pilot in Birmingham is believed to be the first time naloxone has been given to addicts in custody, and the charity said this needs to become a national provision.
The Cranstoun programme in police custody suites is funded by the West Midlands police and crime commissioner.
“In essence, this saves more lives than any other intervention,” said Steve as he demonstrated how to inject the clear liquid into the side of the thigh.
He said sometimes it’s dispensed to the children of addicts so they can save their parents lives if they overdose.
As such a newcomer to the UK market and often concealed as something else, there is little data about the prevalence of nitazenes.
Image: Pic: Met Police
The opioid is even more dangerous for those who have never taken it before
However, Wedinos, a service based in Wales where people can send in their drugs anonymously, to get them tested for what they contain, has started to increasingly detect it in other illicit drugs.
They only found nitazenes five times in 2021, but have discovered it 57 times so far this year. It was in what users thought was cannabis in Manchester and cannabis vape liquid in Portsmouth.
They’ve been found most often in what users thought were the black market versions of the anti-anxiety drug diazepam, and pain medication oxycodone, 21 times each.
They are even more dangerous to people who don’t already use opioids, and therefore have no tolerance.
The reported side effects include hallucinations, irregular heartbeat, chest pains, nosebleeds, vomiting, memory loss, aggression, and overdose.
Back on the streets of Whitechapel, another heroin addict, called Rebel, sits waiting for her methadone script outside a drug rehabilitation centre.
Image: Drug user Rebel
She said heroin has changed. She hates the synthetics, describing them as a waste of money and said they don’t work, but she agrees that not knowing what she’s using makes life more dangerous. Health workers have run urine tests and warned her of other substances cut into her drugs.
“They text me and tell me something is cut in it – it’s really bad.” Rebel becomes emotional talking about the impact of her addiction. “I’m 60 now. I don’t want to die a junkie,” she said.
This week, 15 new synthetic opioids were categorised as Class A drugs by the government, but that doesn’t make them any easier for drug users to detect.
A dangerous market has become more deadly. Users like Rebel are rolling the dice every day.
Jota and Silva were driving to Santander to catch a ferry back to England ahead of the start of Liverpool’s pre-season training on Monday, CNN Portugal reports.
The news outlet reports that Jota was advised against flying back to England due to recent surgery.
Police said the accident happened at 12.30am when the Lamborghini the pair were travelling in veered off the road.
Image: Palacios de Sanabria in the north of Spain
“A vehicle left the road and everything indicates a tyre burst while overtaking,” the Guardia Civil in Zamora told Sky Sports News in a statement.
“As a result of the accident, the car caught fire and both people were killed. Pending the completion of forensic tests, one of the deceased has been identified as Diogo Jota, a Liverpool FC player, and his brother, Andre Felipe.”
A Spanish government source told the PA news agency that police were investigating the crash as “a possible speeding incident”.
Image: The aftermath of the crash. Pic: AP
Image: Pic: AP
Police added that no other vehicles were involved in the incident.
Pictures of the aftermath of the crash showed debris scattered along the side of the road, including what appeared to be charred parts of the vehicle.
It comes just 10 days after the player married his long-term girlfriend, Rute Cardoso.
Image: Diogo Jota holds the Premier League trophy aloft after the club’s title win in the 2024/25 season. Pic: Reuters
Image: Diogo Jota walks the pitch with his family in 2022.
Pic: PA
Instagram
This content is provided by Instagram, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Instagram cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Instagram cookies.
To view this content you can use the button below to allow Instagram cookies for this session only.
The footballer, whoplayed as a striker for Liverpool, began his career in his native Portugal and played at Atletico Madrid in Spain before moving to England.
He joined the Merseyside club from Wolverhampton Wanderers in 2020.
Image: Former Liverpool manager Jurgen Klopp with Diogo Jota. Pic: PA
Image: Portugal’s Cristiano Ronaldo (left) and Diogo Jota (right) during a training session. Pic: PA
Jota played an important role throughout his five years with the Reds, including scoring six times in Liverpool’s recent Premier League-winning season.
He scored a total of 47 times in 123 matches for the club. He also played 49 times for the Portugal national side, scoring 14 times.
Silva, 25, played for Penafiel, a Portuguese second division club.
Image: Diogo Jota holding the trophy on the team bus during the Premier League winners parade in Liverpool. Pic: PA
Teammates and football legends pay tribute
A statement issued by Liverpool FC said the club was “devastated” by their player’s death.
“The club have been informed the 28-year-old has passed away following a road traffic accident in Spain along with his brother, Andre,” the club said in a statement.
“Liverpool FC will be making no further comment at this time and request the privacy of Diogo and Andre’s family, friends, teammates and club staff is respected as they try to come to terms with an unimaginable loss.
“We will continue to provide them with our full support.”
Please use Chrome browser for a more accessible video player
1:38
Sky’s Greg Milam reports from Anfield Stadium where Liverpool fans are hearing about the death of Diogo Jota.
The Portuguese football federation said it was “utterly devastated by the deaths”.
“Far beyond being an exceptional player, with nearly 50 caps for the national team, Diogo Jota was an extraordinary person, respected by all teammates and opponents, someone with a contagious joy and a reference within his own community.
“We have lost two champions. The passing of Diogo and Andre Silva represents irreparable losses for Portuguese Football, and we will do everything to honour their legacy daily.”
The Portugal and Spain women’s teams held a minute’s silence for Jota and Silva before their match in the Women’s Euros in Switzerland on Thursday evening.
Image: Floral tributes left at Anfield this morning. Pic: Sky
It came after Liverpool’s manager Arne Slot said in a statement: “What can anyone say at a time like this when the shock and the pain is so incredibly raw? I wish I had the words but I know I do not.
“All I have are feelings that I know so many people will share about a person and a player we loved dearly and a family we care so much about.
“My first thoughts are not those of a football manager. They are of a father, a son, a brother and an uncle and they belong to the family of Diogo and Andre Silva who have experienced such an unimaginable loss.”
Jota’s former manager at Liverpool, Jurgen Klopp, offered his thoughts in a post on Instagram.
“This is a moment where I struggle! There must be a bigger purpose, but I can’t see it,” he said.
Instagram
This content is provided by Instagram, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable Instagram cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to Instagram cookies.
To view this content you can use the button below to allow Instagram cookies for this session only.
“I’m heartbroken to hear about the passing of Diogo and his brother Andre. Diogo was not only a fantastic player, but also a great friend, a loving and caring husband and father.
“We will miss you so much. All my prayers, thoughts and power to Rute, the kids, the family, the friends and everyone who loved them.”
Liverpool captain Virgil van Dijk posted on Instagram: “What a human being, what a player, but most importantly what an unbelievable family man.
“You mean so much to all of us and you always will!”
Cristiano Ronaldo, Jota’s captain in the national team, said: “It doesn’t make sense. Just now we were together in the National Team, just now you had gotten married.
“To your family, your wife, and your children, I send my condolences and wish them all the strength in the world.
“I know you will always be with them. Rest in Peace, Diogo and Andre. We will all miss you.”
Please use Chrome browser for a more accessible video player
1:16
Diogo Jota married his long-term girlfriend just two weeks ago
Jota’s Liverpool teammates Darwin Nunez, Cody Gakpo and Dominik Szoboszlai have also paid tribute.
Szoboszlai wrote: “Words cannot describe how heartbroken and devastated we are… Your smile, your love for the game will never be forgotten.
“We will miss you so much, but you will stay with us forever, on and off the pitch.”
Jota’s former teammates Trent Alexander-Arnold, Sadio Mane, Roberto Firmino and Thiago Alcantara have also shared messages on social media.
Mane posted a picture of himself and Jota with heartbreak emojis.
It came as Liverpool legend Kenny Dalglish wrote on X: “You feel helpless, knowing there’s so little we can do to ease the pain for his wife of just two weeks, his three beautiful children.”
Liverpool legend Steven Gerrard shared an image of Jota on Instagram and wrote: “Condolences to his family and friends during this incredibly sad time.”
Liverpool owners Billy Hogan, John Henry and Tom Werner, who are part of the Fenway Sports Group, said: “This tragic situation and the reality of it is truly shocking, devastating and has left us numb with grief.”
X
This content is provided by X, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable X cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to X cookies.
To view this content you can use the button below to allow X cookies for this session only.
Football icon Lionel Messi has also paid tribute, sharing an image of Jota on Instagram with the message “QEPD” – short for the Spanish phrase ‘que en paz descanse’, which translates to “may he rest in peace'”.
European football clubs such as Barcelona and AC Milan have also shared messages, along with basketball player LeBron James and tennis icon Rafael Nadal.
Meanwhile Liverpool FC have opened a physical and digital book of condolence for supporters and members of the public to sign.
The physical book is at the club’s stadium, in the Anfield Road Stand reception area until Sunday evening.
An avid video gamer, Jota also owned an eSports team and regularly streamed on Twitch.
The joy that filled the final weeks of Diogo Jota’s life makes his death even more devastating to comprehend for his family and millions of fans worldwide.
The most illustrious title of his career was won in May, when he paraded through Liverpool with his teammates and the Premier League trophy.
More success came with Portugal as he won the Nations League for a second time alongside Cristiano Ronaldo in June.
And then came the bliss at marrying his childhood love Rute Cardoso, watched by their three children.
Just yesterday Jota posted a video from the ceremony on social media alongside the message “a day we will never forget”.
The happiest of days was remembered before the tragedy that killed Jota and his brother Andre Felipe in northwest Spain.
Image: Diogo Jota and wife Rute. Pic: rutecfcardoso14/Instagram
Brothers – whose careers both developed at their hometown club, Porto – so tragically dying together.
“Football has lost two great men,” Porto president Andre Villas-Boas said, as fans descended on the club’s stadium to mourn.
At Anfield, Liverpool fans are grieving the versatile forward who was so often in the shadow of Mohamed Salah, as he was under Ronaldo at Portugal.
But he knew how to sacrifice stardom to contribute to the squad.
Image: Diogo Jota holds the Premier League trophy with Wataru Endo and teammates. PIc: Reuters
The last of his 65 Liverpool goals was the winner in the Merseyside derby against neighbours Everton in April – helping the club become the record 20-time champions of England.
A Premier League winners’ medal joining those from the FA Cup and League Cup, won by the 28-year-old after he joined the Reds in 2020.
It was Wolverhampton Wanderers who gave Jota a platform to shine in England after he joined from Atletico Madrid.
Promotion was gained to the Premier League in 2018, and they more than just avoided relegation, but secured back-to-back top-seven finishes.
Jota was a reason why.
Please use Chrome browser for a more accessible video player
0:48
Fans react to Jota death
He was also why Wolves could embark on such a memorable European campaign, and scored two hat-tricks in the run-up to the Europa League quarter-finals in 2020.
“The memories he created will never be forgotten,” Wolves said.
For the football world, the loss of such a talent so young will be hard to comprehend.
And so many are reflecting on the fragility of life as football grieves from Liverpool to Portugal – and beyond.
The father of a grooming victim who was raped by more than 60 men has said she still lives with the “trauma every single day”.
Marlon West, 51, said Scarlett, now 20, was an academic student at a school in Greater Manchester.
She was happy with a good friendship group and enjoyed riding her horse, Jasper.
But her life changed after she was attacked by a gang at a bus station – they started bullying her and she decided it was better to become their friends.
An older female member then started grooming her for rape gangs made up of Muslim men, her father told Sky News.
Image: Scarlett before she was groomed
Mr West said six men were involved in grooming her from the age of 14 but she was raped by more than 60 before the abuse finally stopped shortly before she turned 18.
By then, she was too terrified to leave home.
“Scarlett isn’t a survivor and a lot of these other girls aren’t survivors,” he said. “The reason being is they’re still living with the trauma every day.”
Mr West, an advanced nurse practitioner for mental health services at the NHS, said his daughter was thrown out of school aged 14 and would go missing for weeks at a time.
On one occasion, he tracked her down to a property in Derbyshire, but when he eventually persuaded police to attend, he was told Scarlett was “safe” with the woman who groomed her and “her friends”.
Image: Scarlett enjoyed riding her horse
Mr West said he was “absolutely furious” when police and social services dismissed the abuse as “a lifestyle choice” and was so desperate he put Scarlett into care when she was 15.
“I couldn’t keep her safe,” he said. “It’s the hardest decision of my life.”
But within a week of her returning home, when she had to leave the care system after turning 16, she was going missing again.
Mr West said the female groomer had stayed in contact with Scarlett and “was literally waiting for her” when she came home.
She was then trafficked all over the country, including Bradford, Birmingham and London.
Image: Marlon West and his daughter Scarlett
Mr West said he had to “scream” at police to track her down before they raided a property in Rochdale where she was found along with heroin and crack cocaine.
Scarlett was arrested and released on bail, but wasn’t charged because she was on a Home Office database as being at risk of trafficking, he said.
“Even though that [arrest] was inappropriate, that stopped it because she was terrified of going out of the house, which she still is now to a certain extent.”
Mr West believes the abuse also came to an end because she was getting older and her abusers were no longer interested.
“This is not just about child sexual exploitation but also criminal exploitation – she was doing county lines, she was picking up firearms for them,” he said.
Image: Scarlett and her dad Marlon
Mr West said any child can be at risk of grooming.
“They’re stereotyping a lot of these survivors, that they’re coming from broken homes, or they’re in care,” he said.
“A groomer doesn’t stand outside a school gate and think, ‘I’m not grooming her because her dad’s a doctor or her dad’s a GP’ – they don’t care. Once they target, that’s it.”
Mr West was speaking as a report by police watchdogs revealed Greater Manchester Police has live grooming investigations involving 714 victims and survivors.
The force said it has 1,099 lines of enquiry relating to potential suspects but only 269 who are confirmed.
“I think there’s more – a lot of survivors haven’t come forward. One, because they’re probably still being groomed and secondly because they’re terrified of GMP and how they’ve been treated in the past,” he said.
“It’s higher than it’s ever been. Services such as police and social services are terrified of political correctness.
“The groomers know they can get away with it because there aren’t many arrests and so it’s increased.”
GMP Chief Constable Sir Stephen Watson promised to go after child rapists and paedophiles “relentlessly” after the publication of the report, which was largely positive about the force’s turnaround in tackling the gangs.
But Mr West believes they are “still failing”, although he welcomed the investigation opened into his daughter’s case.
He said he is “hopeful” the national inquiry into grooming gangs by the government last month “will expose a lot of the cover-ups and give accountability” but is worried about the involvement of services such as councils and police forces because of a lack of trust.
A GMP spokesperson said: “We have met with Scarlett and her father and we’re conducting an extensive investigation into their allegations.
“While we understand the impact of their experiences cannot be undone, we aim to ensure that the experience of the GMP of today would be much improved from that of previous years.”
A Tameside Council spokesperson previously said they were legally unable to comment on Scarlett’s case.
But they said: “Where any concerns or issues are raised we work closely with individuals, families and our partners to provide support and resolve, as appropriate.
“Where individuals aren’t satisfied with the services received, we do have a statutory complaints procedure and individuals can ultimately take their complaint to the Local Government & Social Care Ombudsman.”