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A record number of people died of a drug overdose in the US last year, according to government estimates.

The death toll of 93,000 is a big increase from the 72,000 estimate in the previous year, and it means there were more than 250 deaths each day, roughly 11 every hour.

Only two states – New Hampshire and South Dakota – did not see an increase in drug overdose deaths.

Kentucky saw a 54% increase to more than 2,100 and Vermont was up 58% – from 118 to 186, with large increases also seen in South Carolina, West Virginia, and California.

There is no evidence that more Americans started using drugs last year but the deaths were more likely to be among those who were already struggling with their addiction, according to Shannon Monnat, an associate professor of sociology at Syracuse University.

Prof Monnat, who researches geographic patterns in overdoses, said some addicts also told her that, when benefits were extended and evictions were paused as part of government pandemic measures, they had more money to feed their addiction.

Lockdowns and other pandemic-related restrictions left addicts isolated and made it more difficult for them to get treatment.

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Needle exchange programmes, opioid substitution therapy, safe injection sites, support groups, and therapy sessions were all curtailed by social distancing and stay-at-home orders.

This August 2017 provided by the family shows Jordan McGlashen, left, and his brother, Collin. Jordan died of a drug overdose in his Ypsilanti, Mich, apartment in 2020. He was pronounced dead on May 6, the day before his 39th birthday. “It was really difficult for me to think about the way in which Jordan died. He was alone, and suffering emotionally and felt like he had to use again,” said his younger brother, Collin. (Courtesy Collin McGlashen via AP)
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Jordan McGlashen, left, and his brother, Collin

Jordan McGlashen died after overdosing on heroin and fentanyl in his Michigan apartment in May last year, a day before his 39th birthday.

The musician had seen his father die of cancer a few months earlier and had also lost his job in the early days of the pandemic.

His brother Collin said: “He was alone, and suffering emotionally and felt like he had to use again.”

“Someone can be doing really well for so long and then, in a flash, deteriorate.

“It was really difficult for me to think about the way in which Jordan died.”

Decades ago, overdoses were driven by prescription painkillers but they were overtaken by heroin, with around 7,200 deaths in 1970.

By 1988, crack cocaine was the drug of choice and there were about 9,000 overdose deaths.

Then fentanyl took over and it is thought to have been involved in more than 60% of overdose deaths last year, with opioids overall blamed for 74.7%.

Fentanyl, which is 80-100 times stronger than morphine, was made to treat pain from illnesses such as cancer but it is now mixed with other drugs and sold illicitly.

It is too soon for national figures covering 2021 but state data so far indicates that fentanyl is continuing to push up the number of drug overdose deaths.

Rhode Island reported 34 in January and 37 in February – the most for those months in at least five years.

Prof Monnat said: “What’s really driving the surge in overdoses is this increasingly poisoned drug supply.

“Nearly all of this increase is fentanyl contamination in some way. Heroin is contaminated. Cocaine is contaminated. Methamphetamine is contaminated.”

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Ukrainians are appalled at Trump’s naive and cack-handed diplomacy

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Ukrainians are appalled at Trump's naive and cack-handed diplomacy

For Ukrainians, the spectacle of Vladimir Putin and Donald Trump meeting in Alaska will be repugnant.

The man behind an unprovoked invasion of their country is being honoured with a return to the world stage by the leader of a country that was meant to be their ally.

And they feel let down.

Follow latest updates from Ukraine war

President Trump had threatened severe sanctions on Russia within 50 days if Russia didn’t agree to a deal. He had seemed close to imposing them before letting Putin wriggle off the hook yet again.

But they are not surprised. At every stage, Trump has either sided with Russia or at least given them the benefit of the doubt.

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‘Putin won’t mess around with me’

It is clear that Putin has some kind of hold over this American president, in their minds and many others.

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Ukraine wants three things out of these talks. A ceasefire, security guarantees and reparations. It is not clear at this stage that they will get any of them.

Ukrainians and their European allies are appalled at the naive and cack-handed diplomacy that has preceded this meeting.

Vladimir Putin is sending a team of foreign affairs heavyweights, adept at getting the better of opponents in negotiations.

There are, the Financial Times reported this week, no Russia specialists left at the Trump White House.

Instead, Trump is relying on Steve Witkoff, a real estate lawyer and foreign policy novice, who has demonstrated a haphazard mastery of his brief and breathtaking credulity with the Russians.

Former British spy chief Sir Alex Younger described him today as totally out of his depth. Trump, he says, is being played like a fiddle by Putin.

Read more:
What could Ukraine be asked to give up?
What to expect from pivotal Ukraine summit

There is a fundamental misunderstanding of the conflict at the heart of the Trump administration’s handling of it. Witkoff and the president see it in terms of real estate. But it has never been about territory.

Vladimir Putin has made it abundantly clear that Ukraine’s existence as a sovereign democratic entity cannot be tolerated. He has made no pretence that his views on that have changed.

Ukrainians know that and fear any deal cooked up in Alaska will be used by Putin on the path towards that ultimate goal

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Melania Trump threatens to sue Hunter Biden for $1bn over Epstein comments

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Melania Trump threatens to sue Hunter Biden for bn over Epstein comments

Melania Trump has threatened to sue Hunter Biden for more than $1bn (£736.5m) in damages if he does not retract comments linking her to Jeffrey Epstein.

Mr Biden, who is the son of former US president Joe Biden, alleged in an interview this month that sex trafficker Epstein introduced the first lady to President Donald Trump.

“Epstein introduced Melania to Trump. The connections are, like, so wide and deep,” he claimed.

Ms Trump’s lawyer labelled the comments false, defamatory and “extremely salacious” in a letter to Mr Biden.

Hunter Biden. File pic: AP
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Hunter Biden. File pic: AP

Her lawyer wrote that the first lady suffered “overwhelming financial and reputational harm” as the claims were widely discussed on social media and reported by media around the world.

The president and first lady previously said they were introduced by modelling agent Paolo Zampolli at a New York Fashion Week party in 1998.

Mr Biden attributed the claim that Epstein introduced the couple to author Michael Wolff, who was accused by Mr Trump of making up stories to sell books in June and was dubbed a “third-rate reporter” by the president.

The former president’s son doubled down on his remarks in a follow-up interview with the same YouTube outlet, Channel 5 with Andrew Callaghan, entitled “Hunter Biden Apology”.

Asked if he would apologise to the first lady, Mr Biden responded: “F*** that – that’s not going to happen.”

He added: “I don’t think these threats of lawsuits add up to anything other than designed distraction.”

Ms Trump’s threat to sue Mr Biden echoes a strategy employed by her husband, who has aggressively used legal action to go after critics.

Public figures like the Trumps must meet a high bar to succeed in a defamation suit like the one that could be brought by the first lady if she follows through with her threat.

In his initial interview, Mr Biden also hit out at “elites” and others in the Democratic Party, who he claims undermined his father before he dropped out of last year’s race for president.

Read more from Sky News:
What to expect from Trump-Putin summit
National Guard on streets of Washington DC

The letter threatening legal action against Mr Biden is dated 6 August and was first reported by Fox News Digital.

It was addressed to Abbe Lowell, a lawyer who has represented Mr Biden in his criminal cases. Mr Lowell has not yet commented on the letter.

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Trump claims Epstein ‘stole’ Virginia Giuffre

Read more: What you need to know about Trump, Epstein and the MAGA controversy

This comes as pressure on the White House to release the Epstein files has been mounting for weeks, after he made a complete U-turn on his administration’s promise to release more information publicly.

The US Justice Department, which confirmed in July that it would not be releasing the files, said a review of the Epstein case had found “no incriminating ‘client list'” and “no credible evidence” the jailed financier – who killed himself in prison in 2019 – had blackmailed famous men.

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Trump’s pride vs Putin’s legacy: What to expect from pivotal Ukraine summit

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Trump's pride vs Putin's legacy: What to expect from pivotal Ukraine summit

Donald Trump and Vladimir Putin will meet for the first time in six years on Friday, with a possible deal to end the Ukraine war on the agenda.

Mr Trump has threatened “very severe consequences” if his Russian counterpart doesn’t agree to a ceasefire at the summit, being hosted at a remote US army base in snowy Anchorage, Alaska.

Follow latest updates from Ukraine war

But there are fears they will discuss a deal robbing Ukraine of the land currently occupied by Russia – something Volodymyr Zelenskyy has said he won’t accept.

Here’s what three of our correspondents think ahead of the much-anticipated face-to-face.

Putin’s legacy is at stake – he’ll want territory and more
By Ivor Bennett, Moscow correspondent, in Alaska

Putin doesn’t just want victory. He needs it.

Three and a half years after he ordered the invasion of Ukraine, this war has to end in a visible win for the Russian president. It can’t have been for nothing. His legacy is at stake.

So the only deal I think he’ll be willing to accept at Friday’s summit is one that secures Moscow’s goals.

These include territory (full control of the four Ukrainian regions which Russia has already claimed), permanent neutrality for Kyiv and limits on its armed forces.

I expect he’ll be trying to convince Trump that such a deal is the quickest path to peace. The only alternative, in Russia’s eyes, is an outright triumph on the battlefield.

Vladimir Putin and Donald Trump meeting in Osaka in 2019
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Vladimir Putin and Donald Trump meeting in Osaka in 2019

I think Putin‘s hope is that the American president agrees with this view and then gives Ukraine a choice: accept our terms or go it alone without US support.

A deal like that might not be possible this week, but it may be in the future if Putin can give Trump something in return.

That’s why there’s been lots of talk from Moscow this week about all the lucrative business deals that can come from better US-Russia relations.

The Kremlin will want to use this opportunity to remind the White House of what else it can offer, apart from an end to the fighting.

Read more:
What could Ukraine be asked to give up?
Trump-Putin summit starting to feel quite ‘Midnight Sun’

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What will Kyiv be asked to give up?

Ukraine would rather this summit not be happening
By Dominic Waghorn
, international affairs editor, in Ukraine

Ukraine would far rather this meeting wasn’t happening.

Trump seemed to have lost patience with Putin and was about to hit Russia with more severe sanctions until he was distracted by the Russian leader’s suggestion that they meet.

Ukrainians say the Alaska summit rewards Putin by putting him back on the world stage.

But the meeting is happening, and they have to be realistic.

Most of all, they want a ceasefire before any negotiations can happen. Then they want the promise of security guarantees.

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Does Europe have any power over Ukraine’s future?

That is because they know that Putin may well come back for more even if peace does break out. They need to be able to defend themselves should that happen.

And they want the promise of reparations to rebuild their country, devastated by Putin’s wanton, unprovoked act of aggression.

There are billions of Russian roubles and assets frozen across the West. They want them released and sent their way.

What they fear is Trump being hoodwinked by Putin with the lure of profit from US-Russian relations being restored, regardless of Ukraine’s fate.

US Army paratroopers train at the military base where discussions will take place. File pic: Reuters
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US Army paratroopers train at the military base where discussions will take place. File pic: Reuters

That would allow Russia to regain its strength, rearm and prepare for another round of fighting in a few years’ time.

Trump and his golf buddy-turned-negotiator Steve Witkoff appear to believe Putin might be satisfied with keeping some of the land he has taken by force.

Putin says he wants much more than that. He wants Ukraine to cease to exist as a country separate from Russia.

Any agreement short of that is only likely to be temporary.

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Zelenskyy: I told Trump ‘Putin is bluffing’

Trump’s pride on the line – he has a reputation to restore
By
Martha Kelner, US correspondent, in Alaska

As with anything Donald Trump does, he already has a picture in his mind.

The image of Trump shaking hands with the ultimate strongman leader, Vladimir Putin, on US soil calls to his vanity and love of an attention-grabbing moment.

There is also pride at stake.

Joint Base Elmendorf-Richardson in Alaska, where Trump will meet his Russian counterpart. File pic: Reuters
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Joint Base Elmendorf-Richardson in Alaska, where Trump will meet his Russian counterpart. File pic: Reuters

Trump campaigned saying he would end the Russia-Ukraine war on his first day in office, so there is an element of him wanting to follow through on that promise to voters, even though it’s taken him 200-plus days in office and all he’s got so far is this meeting, without apparently any concessions on Putin’s end.

In Trump’s mind – and in the minds of many of his supporters – he is the master negotiator, the chief dealmaker, and he wants to bolster that reputation.

He is keen to further the notion that he negotiates in a different, more straightforward way than his predecessors and that it is paying dividends.

So far, despite sanctions on Russia, despite warnings and deadlines, the situation in Ukraine is only getting worse.

He’s hoping that this meeting, simply the act of sitting down with Putin, can change the tide.

The Russian president may have different ideas.

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