Even after 40 years the response to Aids in many countries is still held back by stigma | Hakima Himmich and Mike Podmore

It is hard to protect yourself from HIV when having sterile syringes or condoms can lead to arrest: discrimination is restricting progress in eliminating HIV

Forty years after the first cases of Aids were discovered, goals for its global elimination have yet to be achieved. In 2020, nearly 700,000 people died of Aids-related illnesses and 1.5 million people were newly infected with HIV.

This is despite scientific and medical advances in the testing, treatment and care of people living with HIV.

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Tonga’s drug crisis: Why a tiny Pacific island is struggling with a meth epidemic

Spike in drug use has caused problems across Tongan society, with arrests doubling in two years and children severely affected

After more than four decades spent living in New Zealand, Ned Cook knew it was time to return to his home country of Tonga.

His country was in the grip of a methamphetamine epidemic that was ripping families apart and overrunning the country’s hospitals and jails. Cook, a trained drug and alcohol abuse counsellor, with a history of drug abuse himself, had been preparing for years to return to Tonga to combat it.

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Will the magic of psychedelics transform psychiatry?

Psychedelics have come a long way since their hallucinogenic hippy heyday. Research shows that they could alleviate PTSD, depression and addiction. So will we all soon be treated with magic mushrooms and MDMA?

Imagine a medicine that could help people process disturbing memories, sparking behavioural changes rather than merely burying and suppressing symptoms and trauma. For the millions suffering with post-traumatic stress disorder (PTSD) and depression, such remedies for their daily struggles could be on the horizon. Psychiatry is rapidly heading towards a new frontier – and it’s all thanks to psychedelics.

In an advanced phase trial published in Nature in May, patients in the US, Israel and Canada who received doses of the psychedelic stimulant MDMA, alongside care from a therapist, were more than twice as likely than the placebo group to no longer have PTSD, for which there is currently no effective treatment, months later. The researchers concluded that the findings, which reflected those of six earlier-stage trials, cemented the treatment as a startlingly successful potential breakthrough therapy. There are now hopes that MDMA therapy could receive approval for certain treatments from US regulators by 2023, or perhaps even earlier – with psilocybin, the active ingredient of magic mushrooms, not far behind in the process. (A small study at Johns Hopkins University, published last year, suggested it could be four times more effective than traditional antidepressants.)

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‘Nothing will change’: void left by Colombia cartel boss will quickly be filled, say experts

The capture of Ontoniel has been called a landmark victory against the drug trade. But he is ‘just one node of a network’

Colombia’s most wanted drug lord is behind bars awaiting extradition to the US, after what the country’s president hailed as the biggest blow against the drug trade in 20 years.

Until his capture at the weekend, Dairo Antonio Úsuga – better known as Otonielheaded Colombia’s feared Clan del Golfo cartel, a criminal empire that oversees the production and smuggling of unknown tons of cocaine, as well as extortion rackets, illegal mining operations and arms smuggling.

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Colombia’s president hails capture of cartel boss Dairo Antonio Úsuga

Úsuga, one of South America’s most wanted men, arrested at rainforest hideout after massive manhunt

Colombia’s president, Iván Duque, has celebrated the downfall of “the most feared drug trafficker on Earth” after one of South America’s most wanted men was captured at his rainforest hideout following a massive manhunt involving hundreds of troops as well as US and British intelligence agencies.

Dairo Antonio Úsuga, the 50-year-old head of the Clan del Golfo drug cartel, was arrested on Saturday afternoon after heavily armed operatives laid siege to the criminal’s jungle stomping ground in north-west Colombia.

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Columbia’s most-wanted drug lord, Otoniel, captured by armed forces

The leader of the powerful Clan del Golfo, who had a $5m bounty on his head, was seized in a raid by military and police

Dairo Antonio Úsuga, known as Otoniel, Colombia’s most sought after drug trafficker and leader of the Clan del Golfo, has been captured at his jungle hideout by the country’s armed forces.

Colombia had offered a reward of up to 3bn pesos (about $800,000) for information concerning Otoniel’s whereabouts, while the United States government had put up a reward of $5m for help locating him.

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Luxembourg becomes first in Europe to legalise growing and using cannabis

Relaxation is part of government rethink designed to keep users away from illegal market

Adults in Luxembourg will be permitted to grow up to four cannabis plants in their homes or gardens under laws that will make it the first country in Europe to legalise production and consumption of the drug.

The announcement on Friday by Luxembourg’s government was said to deliver fundamental changes in the country’s approach to recreational cannabis use and cultivation in light of the failure of prohibition to deter use.

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Countdown to ecstasy: how music is being used in healing psychedelic trips

Jon Hopkins timed his upcoming album to the length of a ketamine high, while apps are using AI music to tailor drug experiences. Welcome to a techno-chemical new frontier

Two hundred psychedelic enthusiasts have converged in Austin, Texas for a “ceremonial concert” on the autumn equinox. People sprawl on yoga mats around a circular stage as staffers pace the candlelit warehouse, jingling bells and spritzing essential oils. While psychedelic drugs are prohibited, some attenders seem in an altered state, lying on their backs and breathing heavily as rumbles of bass from Jon Hopkins’ upcoming album, Music for Psychedelic Therapy, shakes the hushed space.

This is the first time Hopkins – known for acclaimed solo electronic albums as well as production for Coldplay and Brian Eno – has played his new record in public, and the crowd is visibly moved. As recordings of spiritual guru Ram Dass’s teachings fill the room on the final song, the woman next to me begins silently weeping.

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‘My life in the mafia’s shadow’: Italy’s most hunted author, Robert Saviano

Since 2006, the acclaimed writer has lived in fear for his life, following publication of his exposé on the criminal gangs. The Observer takes a trip back to Naples with him and his minders

On a Friday in autumn 2006, local newspapers and prosecutors in Italy’s south-western region of Campania received the same anonymous letter. Computer-typed and delivered by hand in the early morning, it detailed the Neapolitan Mafia’s plan to execute a 26-year-old Italian writer. His name was Roberto Saviano and his book, Gomorrah, a devastating denunciation of the Camorra’s criminal activity, was on its way to becoming a bestseller.

The unpublished letter, seen by the Observer, refers to a meeting held in a betting office in Casal di Principe, Saviano’s hometown, in which local bosses, known as some of the most violent in the Camorra, decreed that Saviano must die, saying that his murder would take place “when the waters are calm”.

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Coronavirus treatments: the potential ‘game-changers’ in development

After positive clinical trials for antiviral drug Molnupiravir, it joins other medicines that have shown promise

The first clinical trial results showing a positive effect for a pill that can be taken at home has been hailed as a potential gamechanger that could provide a new way to protect the most vulnerable people from the worst effects of Covid-19. Molnupiravir joins a growing list of medicines that have shown promise. Here are some of the main developments in treatments so far.

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Hydroxychloroquine sales spiked almost 100% in Australia at start of Covid pandemic, study finds

There was also a rise in prescriptions for ivermectin being filled, despite no evidence either drug is effective against the virus

The amount of hydroxychloroquine and ivermectin dispensed from Australian pharmacies increased significantly in 2020 as the Covid pandemic took hold, according to new research.

Analysis of six publicly subsidised drugs – including hydroxychloroquine, ivermectin, corticosteroids and the common antibiotic azithromycin – found Covid-related changes in prescription patterns in Australia.

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‘Psychedelics renaissance’: new wave of research puts hallucinogenics forward to treat mental health

In what’s been described as a ‘paradigm shifter’ for psychiatry, Australian clinical trials are exploring the therapeutic benefits of illegal substances

It was out of desperation that Michael Raymond found himself sitting in a remote retreat in the Peruvian Andes, sipping a cup of bitter tea.

Raymond had reached breaking point. His 16-year career as an electrical engineer in high–security situations for the Australian air force had seen him deal with near-death experiences, crashes, casualties and “the aftermath of human remains”.

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Religious rehab centres fill gap as Nigeria grapples with soaring drug use

With poverty deepening, state services are failing to cope with rising rates of addiction

Kola* was in secondary school in Nigeria when he started smoking cigarettes. He soon graduated to cannabis, heroin and eventually to crack cocaine. Access to drugs was easy and he felt the pressure of friends to participate.

In 2002, when he was 39, he was introduced to a private drug rehabilitation centre in Ibadan, in the south-west of the country, where he spent 90 days weaning himself off his addiction.

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Ministers told to bar EU from UK trial data in vaccines row

England’s deputy medical chief asked for data to be withheld unless British vaccine guinea pigs allowed to travel abroad

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England’s deputy chief medical officer asked ministers to withhold all UK clinical trial data from the EU if European countries continued to deny entry to British vaccine trial volunteers, the Observer can reveal.

Jonathan Van-Tam made the extraordinary proposal after months of uncertainty for the 19,000 volunteers who are effectively unable to travel to Europe to see family, work or go on holiday because they took part in trials of Novavax and Valneva.

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Ivermectin: Australian regulator bans drug as Covid treatment after sharp rise in prescriptions

Therapeutic Goods Administration concerned people taking controversial medication instead of seeking proper treatment or vaccine

Australia’s drug regulator has banned medical practitioners from prescribing the anti-parasitic drug ivermectin for “off-label” uses, such as for treating Covid-19.

The move comes after prescriptions for the drug increased between three and four times in Australia in recent months.

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Priti Patel orders review into effects of nitrous oxide

Possession could be criminalised as home secretary vows to ‘take tough action’ on use of laughing gas

Possession of nitrous oxide, one of the most popular drugs among 16- to 24-year-olds, could be criminalised after the home secretary ordered experts to review its effects.

Priti Patel said she was ready to “take tough action” on the widespread use of laughing gas, which is taken mostly through balloons filled from small metal cylinders often seen littering areas around nightclubs and music festivals.

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‘Swazi gold’: grandmothers in Eswatini growing cannabis to make ends meet

In the poverty-stricken kingdom, an older generation rely on growing marijuana to feed children orphaned by Aids epidemic

In Nhlangano, in the south of Eswatini (formerly Swaziland), the illegal farming of the mountainous kingdom’s famous “Swazi gold” is a risk many grandmothers are ready to take.

In what is known locally as the “gardens of Eden”, a generation of grandparents are growing cannabis, many of them sole carers for some of the many children orphaned by the HIV/Aids epidemic that gripped southern Africa.

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Sydney Covid patient in Westmead hospital after overdosing on ivermectin and other online ‘cures’

Patient, who suffered vomiting and diarrhoea, part of trend hospital is seeing of people taking unproven substances

A Covid-positive person in Sydney was admitted to Westmead hospital suffering from vomiting and diarrhoea after overdosing on ivermectin and other drugs ordered online, as Australia’s chief medical officer pleads with the public not to take unproven medicine.

Westmead hospital’s toxicologist, Naren Gunja, said the case was part of a growing trend the hospital was seeing of people taking unproven online cures for Covid. The patient didn’t get severe toxicity from taking the ivermectin cocktail, “but it didn’t help their Covid either”, he said.

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Spanish couple arrested over toad-venom and ayahuasca rituals

Pair allegedly charged €150 for ‘ancestral’ ceremonies involving psychotropic substances

Spanish police have arrested a couple over accusations they were carrying out rituals – billed online as “international ancestral medicine” – involving an array of banned substances ranging from toad venom to ayahuasca.

The couple, aged 42 and 38, allegedly ran an association that performed ceremonies involving psychotropic substances for as much as €150 (£129) a session. Weekend retreats were also on offer at a cost of up to €350 (£300).

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