Author: tio

  • Ukraine: Civilians injured, miners killed, in separate Russian attacks

    A fresh wave of Russian strikes overnight across Ukraine injured several people and left thousands “without heat in the heart of winter,” the UN Humanitarian Coordinator in the country said on Tuesday. 
  • Nearly 40 per cent of cancer cases could be prevented, UN study finds

    Up to four in 10 cancer cases globally could be prevented, new analysis has revealed, highlighting the need for stronger tobacco control and other measures to reduce risks and save lives. 
  • In Washington, Fletcher presses for action as Sudan war grinds on

    Sudan is now the world’s most severe humanitarian emergency, the UN’s top relief official warned on Tuesday, urging donors and diplomatic partners to act swiftly as the fighting nears a third year with no end in sight.
  • Building healthy bridges towards peace: WHO launches $1 billion appeal

    The World Health Organization (WHO) on Tuesday launched its 2026 global appeal for nearly $1 billion to ensure that millions of people living in humanitarian crises and conflicts can access healthcare.
  • Breaking Bad In The Attic: A Dutch City’s Battle Against Secret Amphetamine Labs

    The staff at the Eetcafé Oppe Platz pub in central Echt didn’t know that quiet Tuesday in September 2024 that they had served their last plate of bitterballen, a fried Dutch snack.

    With dart boards, retro gambling machines, and a thumping dance floor, the pub was one of Echt’s most popular venues, drawing lunchgoers in the day and a young crowd from across the area to its dance floor at night.

    But in the pub’s attic that autumn day, a disaster was quietly unfolding. 

    Outside in the brick-paved market square, a Dutch police surveillance team was keeping a close watch. Finally, at around 4:30 p.m., a group of armed police made their move: Wearing gas masks and special hazmat suits, they stormed the establishment.

    In the attic, officers discovered not just a full-blown synthetic drug laboratory — complete with all the equipment and ingredients to manufacture amphetamines — but an enormous chemical spill.

    The unknown substance that had leaked onto the floor was so potent that the soles of their shoes burned off, said Jos Hessels, the bespectacled mayor of the Echt-Susteren municipality in the thin tail of the southern Netherlands.

    For decades now, the Netherlands has dominated the international market for synthetic drugs, with the production heartland concentrated in the country’s southern provinces. 

    “The Netherlands is a kind of Valhalla for that.” said Hessels. “The profits are extreme.”

    Synthetic drugs like ecstasy pills and MDMA produced by criminal syndicates in the region are sold worldwide, with the European MDMA market alone worth almost 600 million euros, according to the European Union Drugs Agency.

    The marginal cost of producing an ecstasy pill is just 0.03 euros, while each pill can be sold  in Australia for the equivalent of 13 euros, he said.

    In the fight against the crime syndicates that plague his city, Hessels has formed a bond with Police Chief Marcel Hellinga, a veteran who spent nearly 25 years as a street cop busting cannabis plantations and criminal gangs in the province. Hellinga refers to the mayor fondly as “our Jos.”

    Together, they are locked in an asymmetrical battle against forces with more money and fewer scruples, who are adopting new tactics — ones that use the municipality’s 32,000 residents as camouflage for highly toxic and combustible operations.

    Rural buildings, abandoned barns, and isolated sheds have long been popular sites for clandestine synthetic drug labs in the region, the pair said. But now, drug gangs are increasingly setting up their labs in residential areas of Echt, even slipping notes into mailboxes that offer up to 1,000 euros a month to rent a spare room.

    “It’s a great place to hide — no one expects it,” Hellinga told OCCRP.

    “Where is the lowest chance of being caught? Well, above a café, perhaps. It is very daring.”

    It’s also dangerous. Amphetamine production uses large amounts of strong acids and volatile solvents, chemicals that can be highly toxic or explosive, even in small quantities.

    The day before the police raid, a neighbor complained to the mayor’s office that the Eetcafé had started to take on a pungent chemical stench, Hessels said.

    Even as the chemical seeped into the floorboards and down the pub’s exterior walls, the cafe remained open for business, serving a menu heavy on schnitzel and light on salads.

    “It was like a scene from a bad film,” said Hessels, shaking his head. “It was dripping through the ceiling.”

    A Cat-and-Mouse Game

    While the rolling hillsides and forests around Echt are a scenic lure for tourists, its main boulevard — lined with discount stores, a pawnshop, and several empty or crumbling storefronts — hints at a city in post-industrial decline.

    This part of Limburg province never fully recovered from the closure of the local coal mines half a century ago, an event that cemented a long-standing distrust of authority in a border region long overlooked by the Dutch state and with a rich history of cross-border crime. 

    In the 19th and early 20th centuries, smuggling was a survival strategy in the area, which is sandwiched between Belgium and Germany. Butter, salt, tobacco, and coffee were taken across borders to avoid paying taxes, or because they were simply cheaper on the other side of the border.

    Smuggling was such an important part of the local economy that companies now offer bike tours along old smuggling routes.

    “Play the cat-and-mouse game in the border area of De Groote Heide and follow in the footsteps of the smuggler,” reads the local government tourism website.

    Today, Echt-Susteren is caught in the crosshairs of a multi-billion-euro illegal narcotics industry. With two of Europe’s busiest ports, Antwerp and Rotterdam, around a two-hour drive away, Echt still lies at a trade crossroads, making it attractive for legitimate logistics companies — but also for organized crime.

    The walls of Hessel’s spacious office — a 10-minute walk from the Eetcafé — are adorned with a portrait of the Dutch king and queen, framed family portraits, and memorabilia, including a police officer’s cap.

    Out the window one recent Tuesday, market vendors stacked dozens of yellow cheese wheels onto a wooden market stall. An elderly woman with a small white poodle in a pram bought fried fish from a fishmonger.

    “People see a quiet rural town,” Hessels said. “A few burglaries, hardly any robberies, bicycle thief, that’s it. But serious crime is constantly increasing.

    “In the background there is an increasing blend of the criminal underworld and legitimate society.”

    The municipality’s rate of drug offenses — including production, trade, and possession — is far above the Dutch national average. Weapons offenses are around 76 percent higher. 

    Younger residents are often pulled into the criminal economy for relatively small sums.

    “For 500 euros, give a young person a weapon and they will shoot,” Hessels said.

    Some are recruited to retrieve cocaine shipments from Antwerp’s port in exchange for as little as a bicycle with fat tires, a new iPhone, or a night out, the mayor said.

    “Drugs, women, human trafficking, weapons. Particularly drugs. It’s only increasing,” he said. “Everything passes by here.”

    Biker Gangs, Drug Labs, and Barrels of Toxic Waste

    Hessels pushed his metal-rimmed glasses up his nose and gestured animatedly with his hands as he explained the challenges and triumphs of his past 15 years as the mayor of Echt.

    The 60-year-old has sent a handwritten card to every newborn in the municipality for more than a decade. 

    He doesn’t just participate in the popular spring carnival — a southern Netherlands tradition, complete with the crowning of carnival princes and princesses, brass bands, parties, and parades — he used to chair the regional association of carnival groups.

    In spite of Hessel’s evident enthusiasm for the city, he’s not there to be liked, he said.

    He’s faced nearly every category of organized crime scourge, from biker gangs to covert drug labs, money-laundering operations posing as high street shops, a drive-by shooting, and barrels of toxic drug waste dumped in fields around his beloved city.

    In striking back at the criminals drawn to Echt, he’s shut down scores of houses, barns, sheds, and warehouses.

    In 2024 alone, he temporarily shuttered around 27 buildings used to stash or produce drugs, a significant increase from 2023, using powers granted to mayors to help restore public order and safety.

    “You accumulate people who don’t like you. And behind them are organizations who like you even less,” he said.

    Ten years ago, Echt was in the eye of the storm of a war between two motorcycle gangs, the Hells Angels and the Bandidos, Hessels said.

    In the Netherlands, local chapters of these motorbike groups have a documented history of involvement in the narcotics trade.

    In 2021, a court in Limburg convicted 12 members of the Bandidos for violence, threats, theft, and money laundering.

    Once, a convicted murderer threatened Hessels, forcing the government to equip his home with extensive security measures.

    Another time a TV crew was filming him in front of the house of a suspected drug trafficker when a masked man on a moped rode up to him. 

    “It stops, and you see that under his helmet he’s wearing a mask as well. And he just stands there, staring, for about a minute. Just provocatively, just watching,” Hessels said. “And then rides off again in the same way. Just to say, ‘We’re watching you.’”

    ‘A nose for vulnerable people’

    For around half a dozen years, the Eetcafé was run by Richard S., his wife, and son — well-known figures in the tiny city.

    The family rented the pub from Bavaria, one of the oldest breweries in the Netherlands, whose huge black and white sign hangs on the wall above the door.

    “We were a cafe for everyone, young and old,” Richard S. told a Roermond court in January as he and his 23-year-old son Romano S. were charged with manufacturing drugs with the intent of selling. (In the Netherlands, criminal suspects often have their full names withheld by courts until their cases have been fully adjudicated.)

    On February 3, the court sentenced Richard S. to two and a half years in prison. His son, Romano S., received a 20 month jail sentence. Richard S.’s wife Melinda, who was accused of aiding and abetting the alleged crime, was acquitted.

    Two weeks earlier the men had pleaded guilty to producing around 4.5 liters of amphetamine oil — a base substance that can be converted into “speed” or added to ecstasy pills — for a criminal organization, and faced a combined fine of approximately 55,000 euros. It was not clear why Melinda S. did not attend the court hearing.

    Confronted with DNA evidence, surveillance tapes, and messages on their mobile phones, Richard S. and his son admitted to having set up a lab in the attic, but claimed they hadn’t put their customers in danger.

    Sitting on the wooden defendant’s bench, Richard S. wore jeans and a blue short-sleeved shirt. His hair was stiff with gel; a large bicep tattoo twitched every time he moved his arm.

    “The café started in good times, but then the coronavirus pandemic hit, and we had a lot of debt. We tried everything to get out of the Bavaria contract.” 

    Then “someone approached us to get rid of our debts,” Richard S. told the court.

    Richard S. said he was too afraid to name the person who had offered him this deal, but that he had been assured he could earn a lot of money by setting up the drug lab.

    “Unfortunately, my son got involved, which is just stupid,” Richard S. said.

    It’s a pattern Hellinga and Hessels have seen time and again — drug gangs target people who are struggling financially and offer them cash to use an empty building or room. 

    “What you often see is that they have a nose for vulnerable people,” Hellinga told OCCRP. 

    The drug lab set up by the father and son in the attic of the pub operated for about six weeks, from August 5 to September 24, 2024, according to prosecutors.

    That summer the Eetcafé “was the place to be,” said Milan Dekkers, an 18-year-old waiter in Echt. “Every weekend there was a party, and everyone was there.”

    “We never did anything when people were in the building,” said Richard S. “We were told it wouldn’t do any harm.” A leak only occurred during the cleanup, he said.

    Hessels was less nonchalant about the risks posed by the 40 liters of formic acid, 130 liters of hydrochloric acid and around 90 liters of formaldehyde, all highly flammable or toxic liquids, found by police in the attic.

    “Every weekend hundreds of young people were put in mortal danger,” Hessels said.

    The Limburg Court ultimately agreed. 

    “The court can’t begin to imagine how many casualties and damages would have occurred if this lab had exploded. The defendant apparently ignored this danger,” read the judgement against the two men.

    ‘Mopping with the taps open’

    The police raid on the Eetcafé wasn’t triggered by the neighbor’s tip-off about the chemical stench, but by a clumsy mistake in a garage a few minutes’ drive away, prosecutors said. 

    Just after noon on September 24, a joint municipal-police team were conducting what they said was a routine sweep of empty garages in the city, looking for synthetic drug labs or stashes of precursor materials — a necessity in the region.

    “All of a sudden the garage door goes up and a stench hits them,” Hessels said. The garage was chock full of kettles, pipes, hoses and chemical residue: the paraphernalia of a synthetic drug lab, Hessels said.

    It didn’t take the officials long to find the next clue. A big leaking barrel at the front of the garage bore a sticker with the address of the Eetcafé Oppe Platz: Plats 5.

    “Literally. You couldn’t make it up. Hilarious,” Hessels said, chuckling loudly.

    Hellinga’s police surveillance team immediately moved into the market square. As the lunch crowd came and went, police watched Richard S. and his son with blue gloves on, loading lab equipment into cars or chucking it in the dumpster, the prosecution alleged.

    At around 4:30 p.m., armed police in protective gear moved in.

    While the “Plats 5” sticker was a moment of levity for the mayor, it shows how the billion-euro narcotics industry has managed to weave itself into the mundane corners of this small city.

    Another burden is cleaning up the mess when gangs dump the toxic waste from drug production in the countryside.

    Nationwide, 217 drug-waste dump sites were found in 2024, the highest since 2018. In Limburg alone, police recorded 42 dumping incidents last year, up significantly from the previous year.

    Belgian and German criminals also cross the border to dump the drug waste near Echt, Hessles said. “The three governments don’t always communicate well. So your chances of being caught are significantly smaller by cleverly using the border.”

    Four years ago drug waste disposal cost the municipality 20,000 euros. By last year, the cost had risen to 120,000 euros, Hessels said. “This year it is increasing again.”

    Back at the city’s square, the pub’s extensive clean-up will soon be complete. Hessels is keen to take down the posters reading “Closed by order of the mayor” and return the square to a buzzing nightspot. 

    “We hope a good, respectable operator will move in there and start a nice business,” he said. 

    But so far, no one has rented the place. The beer taps and red leather bar stools are gathering dust. 

    Busting one drug lab was a minor victory, but the growing influence of a better-funded opponent can feel overwhelming, even for somebody with Hessels’ level of optimism.

    “We as government have the huge handicap that we have to abide by the rules,” he said. “We’ve lost. It’s like mopping with the taps open.”

  • Pandemic Gurus: If You Can’t Defend MAHA Doctors Today, Then You Must Discard Everything They Said Regarding COVID.

    Had MAHA doctors been in charge in 2020, when COVID swamped our hospitals and morgues, they would have brought the same level of malevolence and incompetence they are displaying today.

    The post Pandemic Gurus: If You Can’t Defend MAHA Doctors Today, Then You Must Discard Everything They Said Regarding COVID. first appeared on Science-Based Medicine.

  • Mar 25th: An Audience with an Ally – Dr Joanne Cacciatore

    Mar 25th: An Audience with an Ally – Dr Joanne Cacciatore

    Organised by AD4E

    Location Online event
     Mar 25 from 4pm to 5pm GMT

    Overview

    AD4E ally and leading expert in traumatic grief Dr Joanne Cacciatore joins us for an informal chat and Q&A with the AD4E community.

    AN AUDIENCE WITH AN ALLY offers an informal, interactive space for you to ask Joanne about her work, her books, her life.

    Dr Joanne Cacciatore is a tenured research professor at Arizona State University, where she runs the graduate Certificate in Trauma and Bereavement, and founder of the MISS Foundation.

    Since 1996, Joanne has worked with and counselled those affected by traumatic death through the MISS Foundation, most often the deaths of a children. She started the first therapeutic carefarm in the world for traumatic grief based on a framework for incorporating 40 domestic and farm animals rescued from abuse, torture, neglect, and homelessness. It’s called Selah Carefarm and was featured on Oprah Winfrey and Prince Harry’s Apple TV docuseries, “The Me You Can’t See” in episode 4. Joanne also served on their ‘mental health’ advisory board, along with 13 esteemed colleagues as part of the series. You can meet us all in the final town hall episode, “The Path Forward”.

    Joanne’s research has been published in peer reviewed journals such as The Lancet, British Journal of Obstetrics and Gynecology, Omega Journal of Death and Dying, Journal of Mental Health Counseling, Seminars in Fetal and Neonatal Medicine, and the International Journal of Nursing.

    Joanne’s best selling book, Bearing the Unbearable: Love, Loss, and the Heartbreaking Path of Grief, won the Indies Book of the Year Award. Her next book of meditations, Grieving is Loving, was released in December of 2020 and her series of meditations for grief are now available on the Calm app.

    “I have endured many untimely deaths during the course of my early life. Both my parents when I was in my 30s. Then, my best friend and teacher died in 2004; and I have lost partners and many friends.

    But July of 1994 changed the course of my life: the day my baby daughter died. Since then, I have committed my life to the service of others suffering traumatic deaths, as it was in the darkness when I truly found my self.

    I am a mother to five children, now mostly grown, ‘four who walk and one who soars’. ” J Cacciatore

    LIMITED PLACES DUE TO THE ZOOM PLATFORM SIZE WE HAVE AVAILABLE

    Get tickets here

    The post Mar 25th: An Audience with an Ally – Dr Joanne Cacciatore appeared first on Mad in the UK.

  • People are waiting over three years for NHS talking therapies

    People are waiting over three years for NHS talking therapies

    I asked trusts about maximum wait times, and one reported that a patient waited over three years to get from referral to appointment. Another trust reported that over 40% waited over 90 days for help.

    NHS Talking Therapies (formerly IAPT) offers free, evidence-based support for anxiety and  depression in England, as well as in some cases OCD, PTSD, and phobias.

    It’s part of primary care and although you can self-refer in some places, often the GP refers you into the system. It aims to see recovery rates around 50% and waits are meant to be two-five months. Services are also meant to be suitable people with different access needs.

    I sent a freedom of information (FOI) request to 46 trusts, asking about results for the calendar year of 2024. What I got back was worth sharing with practitioners, patients and the public.

    Maximum wait times by trust

    The most shocking result was that one trust reported a person waited three years for talking therapies.

    Herefordshire and Worcestershire Health and Care NHS Trust reported their longest wait for a patient for talking therapies in 2024 was 1160 days: over three years. The same trust reported that over 41% of patients waited over 90 days for a first appointment.

    To put that in context the aim for IAPT waiting times in England is six weeks for most people, and 18 at the outset. (The aim is for 75% to be seen in six weeks, and 95% of patients to be seen by 18 weeks).

    But even though they kept waits under three years, other trusts didn’t fare much better.

    • Leeds Community Healthcare reported that one patient waited 778 days: over two years.
    • Oxleas NHS Foundation Trust in London was not far behind at 728 days, just under two years.

    People who waited over 90 days for an appointment

    Some people waited over 90 days for an appointment (over 12 weeks).

    • Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust reported that in one area 59% of patients waited over 90 days for an appointment.
    • Sandwell in the Black Country Partnership NHS Foundation Trust said 22% of patients waited over 90 days.

    Re-referrals into the services

    Not every referral was a patient’s first.

    • Greater Manchester mental health Trust reported that 29% of its referrals were repeats within 12 months of discharge. Of a total 59,186, some 17,412 were repeat referrals within 12 months. While it’s great to know that patients can return to a service, to see a return rate of nearly one in three raises questions about the longevity of CBT’s benefit.
    • Pennine Care NHS Foundation Trust also saw many returners: 24% came back within a year.
    • Cornwall Partnership NHS Foundation Trust was not far behind with 23%.

    The lowest return rate was for Sheffield Health and Social Care NHS Foundation Trust, who reported that just 85 of 18,205 referrals came back (0.47%).

    Places with the most referrals

    My FOI included a question on the number of talking therapies referrals each trust handled.

    • The Midlands Partnership NHS Foundation Trust reports handling 64,184 referrals in 2024, and Central and North West London NHS Foundation Trust handled 59,523.
    • The smallest services by referrals in 2024 were Derbyshire Healthcare NHS Foundation Trust and other providers (316), Humber Teaching NHS Foundation Trust (216) and the Isle of Wight Trust (just 98).

    In summary

    If you take one thing away from these results, it is likely to be the plain and simple truth that the difference between NHS and private talking therapies is now a gulf.

    If you can afford to pay, you can see a clinician of your choice – within hours, in some cases.

    If you can’t afford to pay for therapy, you must wait – in some cases, for months or years. In the meantime your symptoms may alleviate, or how you feel and what you do to cope may get worse.

    Yes, there are sliding scale therapies – but those have their own pitfalls. Often offered by therapy trainees, your practitioner may be unqualified and inexperienced. They may be a great listener, but often trainees work with people who have not been helped by the NHS, who may have experienced distress over a long period of time, and consequently may be more traumatised, have a more complex story,  or be at greater risk of self-harm and suicidal feelings. With someone inexperienced who hasn’t yet finished learning how to help, sliding scale therapy can be risky.

    And yes, there are some charitable listening services such as the Samaritans and The Listening Place. But these are almost always run by volunteers. Again, some may be great listeners, with supervision, volunteer support and training. Some may even be able to offer durational support – for example The Listening Place offers six sessions over three months. But even those volunteers who are therapists, are still volunteers at the end of the day: they are not regulated and they are not liable for making mistakes. Most listening volunteers would be the first point out that what they do is not therapy.

    It is clear IAPT is not working well for many NHS patients. For people to be diagnosed with a problem, labelled as such, then abandoned creates risks of iatrogenic harm.

    Meanwhile, the government is redesigning primary care and launching an enquiry into the rise of ADHD and autism diagnoses. They seem diverted from the massive waits in IAPT. In fact, it seems very hard to question the dominant narratives from Health Education England that the programme ‘…. has transformed the treatment of adult anxiety disorders and depression in England’ and that ‘it is widely-recognised as the most ambitious programme of talking therapies in the world’.  Concerns have not been welcome about the high numbers of drop-outs, the way recovery rates are calculated, and the reasons for the rising tide of misery in the first place.

    Now, it seems as if prompt access to help cannot be guaranteed either.  In fact, growing numbers of IAPT therapists are themselves succumbing to anxiety and depression due to the pressures of this ruthlessly target-driven work: as Novara reports, a 2016 survey found that half of 1,300 psychological services therapists had felt depressed in the previous week, half had felt like a failure, and 92% found their job stressful some or all of the time.

    Patients evidently find it hard to get seen in the consulting room. But now no-one in Westminster is paying attention to them either.

    ****

    Mad in the UK hosts blogs by a diverse group of writers. The opinions expressed are the writers’ own.

    The post People are waiting over three years for NHS talking therapies appeared first on Mad in the UK.

  • Families of children with cancer to have travel costs covered

    The government sets aside £10 million a year to help families and young people under 24 access cancer treatment.