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As night draws across the eastern front medical teams wait nervously behind the frontline.

They know it will be a busy night – every night is busy these days as Russia intensifies its attacks in the Donbas.

The chief medic, Yaroslav, takes the first call of the shift.

His face is filled with concern as he’s informed in the voice message that there are many casualties. Some are walking wounded, others are not so lucky.

His team is quickly on its way. Climbing aboard their ambulance and heading out into the inky night, there is no time to lose and they need to move fast.

As they race towards the rendezvous point, we film with a night-vision camera, any unnecessary light could draw enemy fire.

This is dangerous work. The deadly drone and artillery war is all around them.

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The threat is now so bad the team prefers, when they can, to work only at night. In daylight the risk of being targeted by Russian drones is often too great.

A few kilometres from the frontline and the team comes to a stop.

Hidden by the dark they try to call the injured soldiers’ unit to tell them they are waiting in an exposed location but there’s no answer.

“Sometimes there is shelling and they can’t evacuate from the position,” says medic Valeri.

Shellshocked casualties emerge from the gloom
Image:
Shellshocked casualties emerge from the gloom

Out of the gloom the first casualties eventually arrive for the handover. All of them look gaunt and shellshocked. The grime and terror of this grinding trench war is etched into their faces.

One of the soldiers tells me how they were injured.

“They destroyed the position. With drones they completely destroyed it – thank god we survived. One person died but I was blown away by the explosion. I was lucky.”

Ukraine is facing a shortage of manpower and the country is having to recruit older men for its defence.

As Misha waits for first aid he tells me he’s in pain: “The shrapnel is sticking out of my leg. My leg is swollen and my other leg hurts too, I probably twisted it.”

Medics smoke as they wait nervously for casualties to arrive. Pic: Alex Rossi
Image:
Medics smoke as they wait nervously for casualties to arrive. Pic: Alex Rossi

‘Shells crash around us’

With the men patched up and on their way for more medical treatment, the evacuation team is soon responding to a new call.

Along broken roads and bomb-cratered dirt tracks they bump along through the night. As they arrive at a second evacuation point it’s clear we are now much closer to the frontline.

Andriy has shrapnel wounds and is in shock as he's rescued
Image:
Andriy is rescued with serious shrapnel wounds

The sound of guns is deafening and as we wait anxiously in open fields shells crash around us.

Eventually the casualty arrives – there’s much more urgency in this extraction

Andriy is suffering from serious shrapnel wounds and he’s clearly in shock as he’s stretchered into the waiting ambulance.

Yaroslav giving first aid in the ambulance. Pic: Alex Rossi
Image:
Yaroslav gives first aid in the ambulance. Pic: Alex Rossi

The medics set up a drip and only once he’s stabilised can they start to drive.

The windows have been blacked out, which means they can work with more light, and as they go his condition is carefully monitored.

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Yaroslav explains what they have done as we start to move.

“The intravenous line wasn’t working so we had to move it so we had access to his vein.

“This way, if everything goes wrong we have the ability to deliver medicine to help him. He’s okay, he’s stable. He’s heavily wounded but stable.”

Andriy soon arrives at a medical facility – he’ll later undergo surgery – and the medical evacuation team will soon head back into the dark to treat and extract more casualties.

Every night it seems the carnage and destruction of this war gets worse.

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Dozens injured after ‘savage’ Russian drone strike on Ukrainian railway station, Zelenskyy says

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Dozens injured after 'savage' Russian drone strike on Ukrainian railway station, Zelenskyy says

At least 30 people have been injured in a Russian drone strike on a Ukrainian railway station, President Volodymyr Zelenskyy has said.

Two trains were hit when Shostka station was targeted on Saturday, the head of Ukraine’s railways, Oleksandr Pertsovskyi, said in a Facebook post.

Three children were among the passengers injured, he said, adding an employee had also been hurt.

Ukraine’s president wrote on X: “A savage Russian drone strike on the railway station in Shostka, Sumy region.

“All emergency services are already on the scene and have begun helping people. All information about the injured is being established.

“So far, we know of at least 30 victims. Preliminary reports indicate that both Ukrzaliznytsia staff and passengers were at the site of the strike.”

Regional governor Oleh Hryhorov said a train heading to Kyiv had been hit and that medics and rescuers were working on the scene.

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Mr Zelenskyy and the governor posted pictures from the scene that show a passenger carriage on fire.

The head of the local district administration, Oksana Tarasiuk, told Ukraine’s public broadcaster that about 30 people
were injured by the strike. No fatalities were reported in the immediate aftermath.

Mr Pertsovskyi said the strikes were a “despicable attack aimed at stopping communication with our frontline communities”.

Moscow has stepped up its air strike campaign on Ukraine’s railway infrastructure, hitting it almost every day over the last two months.

They have also targeted energy infrastructure with a massive bombardment on Ukraine’s gas production facilities earlier this week.

Mr Zelenskyy’s top aide, Andriy Yermak, accused Russia of deliberately targeting the station and train, saying it was carrying out a “war against civilians”.

Overnight into Saturday, Russian drones and missiles pounded Ukraine’s power grid, a Ukrainian energy firm said.

The strike damaged energy facilities near Chernihiv, a northern city west of Shostka that lies close to the Russian border, and sparked blackouts set to affect some 50,000 households, according to regional operator Chernihivoblenergo.

On Friday, Russia carried out what officials have described as the biggest attack on Ukraine’s natural gas facilities since the war started in February 2022.

Russia fired a total of 381 drones and 35 missiles at Ukraine on Friday, according to Ukraine’s air force, in what officials said was an attempt to wreck the Ukrainian power grid ahead of winter.

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Hamas agrees to release all remaining Israeli hostages – but seeks further talks on rest of Trump’s peace deal

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Hamas agrees to release all remaining Israeli hostages - but seeks further talks on rest of Trump's peace deal

Hamas has said it agrees to release Israeli hostages, dead and alive, under Donald Trump’s peace plan for Gaza.

The group also said it wants to engage in negotiations to discuss further details, including handing over “administration of the enclave to a Palestinian body of independent autocrats”.

However, other aspects of the 20-point plan, it said, would require further consultation among Palestinians.

The announcement came just hours after President Trump had set a new deadline of Sunday to respond to his proposals, backed by the Arab nations.

The president and Israeli Prime Minister Benjamin Netanyahu unveiled the plan at the White House on Monday.

Israel agreed to the terms, which include an immediate ceasefire; the release of all hostages; Hamas disarming; a guarantee no one will be forced to leave Gaza; and a governing “peace panel” including Sir Tony Blair.

And on Friday night, a statement from Hamas confirmed “its approval to release all prisoners of the occupation – whether alive or the remains of the deceased – according to the exchange framework included in President Trump’s proposal”.

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Trump’s Sunday deadline threat

The group also said it was ready to engage in negotiations through mediators and that it appreciated “Arab, Islamc and international efforts, as well as the efforts of US President Donald Trump”.

But, Hamas official Mousa Abu Marzouk told Al Jazeera news the group would not disarm “before the Israeli occupation ends”.

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In a Truth Social post on Friday, Mr Trump said if Hamas did not agree to the peace deal by Sunday evening “all hell” would break out.

Ramping up pressure

He had posted: “An Agreement must be reached with Hamas by Sunday Evening at SIX (6) P.M., Washington, D.C. time. Every Country has signed on! If this LAST CHANCE agreement is not reached, all HELL, like no one has ever seen before, will break out against Hamas. THERE WILL BE PEACE IN THE MIDDLE EAST ONE WAY OR THE OTHER.”

There has been no official response from the US and Israel to the partial acceptance.

Israel has sought to ramp up pressure on Hamas since ending an earlier ceasefire in March.

It sealed the territory off from food, medicine and other goods for two and a half months and has seized, flattened and largely depopulated large areas of the territory.

Experts determined Gaza City had slid into famine shortly before Israel launched a major offensive aimed at occupying it.

An estimated 400,000 people have fled the city in recent weeks, but hundreds of thousands more have stayed behind.

Most of Hamas’ top leaders in Gaza and thousands of its fighters have already been killed, but it still has influence in areas not controlled by the Israeli military and launches sporadic attacks that have killed and wounded Israeli soldiers.

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Colombia is high on Trump’s troublemaker list – but coca farmers will keep producing to match US demand

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Colombia is high on Trump's troublemaker list - but coca farmers will keep producing to match US demand

“Listen man, we’re a narco state, it’s just how it is, if you want to see drug deals, I’ll show you drug deals – it’s Colombia.”

I’d only asked one of our Colombian producers in passing if it was possible to see drugs being traded on the streets of Medellin. I didn’t realise it was that simple.

Medellin is synonymous with drugs and cartels. The home of perhaps the most famous of all the drug lords, Pablo Escobar, it seems to revel in its notoriety.

There are pictures of Escobar everywhere, on posters, on caps, and on t-shirts. There are even guided tours to his grave, and a museum in his honour.

Stuart Ramsay speaks with a coca farmer, who earn very little from growing the crop
Image:
Stuart Ramsay speaks with a coca farmer, who earn very little from growing the crop

This is where the big business drug cartels were born, invented by Escobar himself, the original Latin American “Godfather”.

In an infamous district in Medellin, we were instantly confronted with the sounds of dealers on the streets shouting out their products for sale as we drove through.

“Cocaine! Pills! Ecstasy! Tusi!” they shouted. All available to a traffic jam of cars waiting to buy.

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Motorcycle delivery drivers queued to make the pick-up for their clients waiting in high-end apartments and nightclubs elsewhere in the city, while buyers on foot discreetly scored their drugs, before moving on.

Medellin was the home of Pablo Escobar and drugs are widely traded on its streets
Image:
Medellin was the home of Pablo Escobar and drugs are widely traded on its streets

‘Narco’ culture

It was chaotic and noisy, a place where lookouts use whistles to send signals to the dealers.

Two toots mean it’s all clear, a single toot is a warning – it means the police are nearby.

In the middle of this big open-air market for drugs, dimly lit restaurants and cafes served dinner. We passed one café where we saw a family sat at a table outside, celebrating a woman’s 70th birthday.

This neighbourhood runs a 24-hour drug selling market alongside the usual shops and cafes that spill over on to the pavement.

It is not illegal to grow coca, only to use it to produce cocaine
Image:
It is not illegal to grow coca, only to use it to produce cocaine

Although Colombia has a long history and fascination with “narco” culture and drug-taking, its immediate problem is that President Donald Trump has launched a war on Latin American drug cartels, manufacturers, and the nations the drugs come from – and through.

Venezuela is at the top of his hit list; he has launched strikes on boats off the Venezuelan coast that he says were carrying drugs. He has boosted American military presence in the Caribbean – sending ships, marines, helicopters, drones and jets into the region.

There is speculation he may be looking for regime change in Venezuela, and that the war on drugs is a front to remove President Nicolas Maduro from power, claiming the Venezuelan government is basically a drug cartel. Something they of course deny.

This coca plantation was hacked into the rainforest on the border of Colombia and Peru
Image:
This coca plantation was hacked into the rainforest on the border of Colombia and Peru

None of this bodes well for Venezuela’s neighbour Colombia, indeed President Trump has made it clear Colombia is high on his list of troublesome nations.

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There are other countries on his list, like Mexico, that he says has demonstrated willingness to clean up their act and take the war to Mexico’s deadly cartels.

Mr Trump’s gripe with Colombia isn’t necessarily that its society has a relaxed attitude to drug use – it is widespread across all classes – no, his problem is that Colombia is one of the biggest producers of cocaine in the world, and it feeds the biggest market, which is the United States of America.

Coca plantations are hidden miles away from other people in the Amazon
Image:
Coca plantations are hidden miles away from other people in the Amazon

Hidden away, miles from people

It seems that the president’s view is that the supplier is the problem, not necessarily the user.

Cocaine is extracted from the coca leaf, which is grown in abundance in Colombia, Peru, and Bolivia.

Growing the coca plant in these countries is not illegal, and the leaf itself is often used for other purposes. The plant only becomes illegal when it’s used for cocaine production.

I wanted to meet the farmers who grow coca to find out if they are the masterminds of a multi-billion-pound international drugs business, or just farmers meeting international demand.

My journey began just after dawn in pouring rain on the Amazon River in Colombia.

Perhaps unsurprisingly the plantations are hidden away in remote areas, miles away from people.

Stuart Ramsay in the rainforest
Image:
Stuart Ramsay in the rainforest

We travelled for hours in the rain, on a small boat with a guide, passing indigenous communities who have nothing to do with the business hiding in their forest.

The river narrowed as we got closer to our destination, and five hours later, after navigating through broken tree trunks and low hanging branches, we arrived at an eight hectare coca plantation hacked into the rainforest bordering Colombia and Peru.

The crop, which is two-and-a-half years old, is hidden by the trees and the river.

They are about to start harvesting it, but it’s incredible just how many leaves they need.

The farmer says that for every 70 grams of cocaine produced, the cartel producers need 30 kilograms of leaves.

Colombia is one of the biggest producers of cocaine
Image:
Colombia is one of the biggest producers of cocaine

Only way to provide for his family

That’s a lot of picking – and the farmer will earn just $7 for those 30 kilograms of leaves.

The cocaine business might be incredibly lucrative for the cartels that control it, but at the very bottom the farmers hardly get paid a thing.

And though he is worried about getting caught, the farmer I meet sees it as the only way to provide for his family.

“For me it’s very valuable, it’s my sustenance, the way for sustaining life,” he told me.

“We are aware that illegal processing isn’t good for anybody, not exactly, you can’t say I am doing this, and this is good for people, no, this harms the entire community, everyone,” he explained when I asked him if he was at all conflicted about his crop.

“But we all make sacrifices, and we struggle to make our way in life.”

It’s hard to believe that the global business of manufacturing and shipping cocaine around the world all starts with these fairly innocuous looking coca leaves.

And whatever Donald Trump says, they will keep producing as long as users in America, Europe, and indeed the world, demand it.

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