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.
Thousands of people gathered in various cities across the US as protests against Donald Trump and Elon Musk took place in all 50 states on Saturday.
Around 1,200 demonstrations were planned in locations including Washington DC, New York City and West Palm Beach, Florida – just miles away from where the US president has this weekend played golf.
The “Hands Off!” protests were against the Trump administration’s handling of government downsizing, human rights and the economy, among other issues.
In Washington DC, protesters streamed on the grass in front of the Washington Monument, where one person carried a banner which read: “Make democracy great again.”
Image: Thousands gathered in Washington DC to rally against various Trump policies. Pic: AP
Image: Pic: AP
Another protester took aim at Mr Trump‘s handling of Russia and Ukraine, with a placard that read: “Stop Putin’s puppets from destroying America.”
Tesla boss Mr Musk also featured on many signs due to his role in controversial government cuts as head of the newly created Department of Government Efficiency (DOGE).
Image: Demonstrators in NYC. Pic: AP
Image: People marching in Atlanta, Georgia. Pic: Reuters
Image: A rally in Vermont. Pic: The Brattleboro Reformer via AP
Terry Klein, a retired biomedical scientist, said she drove to the rally to protest Mr Trump’s policies on “everything from immigration to the DOGE stuff to the tariffs this week, to education”.
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“I mean, our whole country is under attack, all of our institutions, all the things that make America what it is,” she added.
Image: A drone view of the protest at the Utah State Capitol building. Pic Reuters
Image: A protester sports a Handmaid’s Tale costume. Pic: Reuters
Image: Pic: Reuters
Some at the various protests carried Ukrainian flags, while others sported rainbow attire and waved rainbow flags in support of the LGBTQ+ community.
Other protesters wore Palestinian keffiyeh scarves and carried “Free Palestine” signs.
Protesters refuse to take Donald Trump’s policies lying down
It was built to honour George Washington, a founding father of the United States.
And in the shadow of the 555ft Washington Monument, protestors were refusing to accept Donald Trump’s policies lying down.
“Stand tall,” they chanted, again and again.
“In every city, stand tall. In every state, stand tall. In truth, stand tall. In justice, stand tall.”
Those words, shouted by thousands on the city’s iconic mall, were reinforced by the words on their placards and t-shirts.
A minister, wearing a t-shirt with ‘Troublesome Priest’ printed on it, told me she found what was happening in the US government “appalling and immortal”.
One man said he had won the long-distance award, having travelled 2,750 miles from Hawaii for the protest.
“I finally reached a breaking point,” he added. “I couldn’t take it anymore.”
Another woman said: “We have to speak up, we have to act, we have to do something, because this is not America.”
I asked her what she would say to those who argue the people did speak when they elected Donald Trump as president.
She replied: “Some people have spoken and then some people have not and those of us that have not, we need to speak now.”
Thousands marched in New York City’s midtown Manhattan and in Boston, Massachusetts, while hundreds gathered in the sunshine outside the Utah State Capitol building in Salt Lake City, and in the rain outside the Statehouse in Columbus, Ohio.
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Mr Trump – who shook financial markets with his tariffs announcement this week – spent the day in Florida, playing a round of golf before returning to his Mar-a-Lago residence.
Image: People protest in Manhattan. Pic: Reuters
Image: Activists in Palm Beach Gardens, Florida. Pic: AP
Some four miles from Mar-a-Lago, more than 400 people gathered – and drivers honked their horns in support of protesters who held up signs including one which read: “Markets tank, Trump golfs.”
The White House has said Mr Trump plans to go golfing again on Sunday.
Global financial markets gave a clear vote of no-confidence in President Trump’s economic policy.
The damage it will do is obvious: costs for companies will rise, hitting their earnings.
The consequences will ripple throughout the global economy, with economists now raising their expectations for a recession, not only in the US, but across the world.
While the UK’s FTSE 100 closed down 1.55% and the continent’s STOXX Europe 600 index was down 2.67% as of 5.30pm, it was American traders who were hit the most.
All three of the US’s major markets opened to sharp losses on Thursday morning.
Image: The S&P 500 is set for its worst day of trading since the COVID-19 pandemic. File pic: AP
By 8.30pm UK time (3.30pm EST), The Dow Jones Industrial Average was down 3.7%, the S&P 500 opened with a drop of 4.4%, and the Nasdaq composite was down 5.6%.
Compared to their values when Donald Trump was inaugurated, the three markets were down around 5.6%, 8.7% and 14.4%, respectively, according to LSEG.
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Worst one-day losses since COVID
As Wall Street trading ended at 9pm in the UK, two indexes had suffered their worst one-day losses since the COVID-19 pandemic.
The S&P 500 fell 4.85%, the Nasdaq dropped 6%, and the Dow Jones fell 4%.
It marks Nasdaq’s biggest daily percentage drop since March 2020 at the start of COVID, and the largest drop for the Dow Jones since June 2020.
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5:07
The latest numbers on tariffs
‘Trust in President Trump’
White House press secretary Karoline Leavitt told CNN earlier in the day that Mr Trump was “doubling down on his proven economic formula from his first term”.
“To anyone on Wall Street this morning, I would say trust in President Trump,” she told the broadcaster, adding: “This is indeed a national emergency… and it’s about time we have a president who actually does something about it.”
Later, the US president told reporters as he left the White House that “I think it’s going very well,” adding: “The markets are going to boom, the stock is going to boom, the country is going to boom.”
He later said on Air Force One that the UK is “happy” with its tariff – the lowest possible levy of 10% – and added he would be open to negotiations if other countries “offer something phenomenal”.
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3:27
How is the world reacting to Trump’s tariffs?
Economist warns of ‘spiral of doom’
The turbulence in the markets from Mr Trump’s tariffs “just left everybody in shock”, Garrett Melson, portfolio strategist at Natixis Investment Managers Solutions in Boston, told Reuters.
He added that the economy could go into recession as a result, saying that “a lot of the pain, will probably most acutely be felt in the US and that certainly would weigh on broader global growth as well”.
Meanwhile, chief investment officer at St James’s Place Justin Onuekwusi said that international retaliation is likely, even as “it’s clear countries will think about how to retaliate in a politically astute way”.
He warned: “Significant retaliation could lead to a tariff ‘spiral of doom’ that could be the growth shock that drags us into recession.”
It comes as the UK government published a long list of US products that could be subject to reciprocal tariffs – including golf clubs and golf balls.
Running to more than 400 pages, the list is part of a four-week-long consultation with British businesses and suggests whiskey, jeans, livestock, and chemical components.
Meanwhile, Prime Minister Sir Keir Starmer said on Thursday that the US president had launched a “new era” for global trade and that the UK will respond with “cool and calm heads”.
It also comes as Canadian Prime Minister Mark Carney announced a 25% tariff on all American-imported vehicles that are not compliant with the US-Mexico-Canada trade deal.
He added: “The 80-year period when the United States embraced the mantle of global economic leadership, when it forged alliances rooted in trust and mutual respect and championed the free and open exchange of goods and services, is over. This is a tragedy.”