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Research Report: The Khat Epidemic in Somaliland

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The Khat Epidemic in Somaliland: A Socioeconomic and Health Crisis

By Kasim Abdulkadir:

Assessing the Impact of Khat Consumption on Public Health and Society

This research report explores the Khat epidemic in Somaliland, examining its socioeconomic and health impacts, historical context, and potential solutions to mitigate its adverse effects.

1. Introduction

Khat (Catha edulis), a plant native to the Horn of Africa and the Arabian Peninsula, has been widely consumed in Somaliland for centuries. The leaves of the Khat plant contain psychoactive compounds, notably cathinone and cathine, which produce stimulating effects similar to those of amphetamines. While Khat chewing is culturally ingrained in Somaliland, its widespread use has escalated into an epidemic with profound socioeconomic and health ramifications.

2. Historical Context of Khat in Somaliland

Khat consumption in Somaliland has historical roots, traditionally used in social and religious contexts. It has been viewed as a social lubricant and a means to facilitate extended periods of work and worship. Over time, the practice has become more pervasive, cutting across various strata of society. The historical tolerance of Khat use has complicated efforts to address its adverse effects.

3. Chemical Composition and Effects of Khat

Chemical Composition

Khat leaves contain:

  • Cathinone: A potent stimulant with effects akin to amphetamine.
  • Cathine: A milder stimulant.

Effects

  • Short-term: Increased alertness, euphoria, and hyperactivity.
  • Long-term: Insomnia, anorexia, psychological dependence, and potential for severe mental health issues.

4. Socioeconomic Impact

Economic Dependency

Khat trade constitutes a significant economic activity in Somaliland, providing livelihoods for farmers, traders, and transporters. However, this dependency undermines economic diversification and sustainability.

Social Consequences

  • Family Dynamics: Financial strain due to Khat expenditures often leads to neglect of family needs, contributing to domestic strife.
  • Productivity: Chronic use impairs productivity, as users spend significant time chewing Khat at the expense of engaging in economically productive activities.

Financial Implications

The cost of Khat consumption diverts household income from essential needs such as food, education, and healthcare, perpetuating a cycle of poverty.

5. Health Implications

Physical Health

  • Gastrointestinal Issues: Chronic Khat use is associated with digestive problems.
  • Cardiovascular Effects: Increased risk of hypertension and heart disease due to the stimulant properties of Khat.

Mental Health

  • Psychological Dependence: Users develop a dependency that impacts their mental health, leading to anxiety, depression, and in severe cases, psychosis.
  • Community Health: The widespread use of Khat exacerbates public health challenges, straining healthcare resources.

Public Health Concerns

  • The health sector in Somaliland faces significant challenges in managing the adverse effects of Khat use, with limited resources to address the growing epidemic.

6. Regulatory and Legal Framework

Legal Status

While Khat is banned in many countries, it remains legal and unregulated in Somaliland, complicating efforts to curb its use.

Policy Challenges

  • Lack of Enforcement: Even where regulations exist, enforcement is weak.
  • Cultural Acceptance: Deep-rooted cultural acceptance of Khat poses a significant barrier to implementing effective control measures.

7. Current Interventions and Challenges

Existing Interventions

  • Public Awareness Campaigns: Efforts to educate the public on the dangers of Khat use.
  • Healthcare Initiatives: Programs aimed at treating addiction and managing health complications.

Challenges

  • Resource Constraints: Limited financial and human resources to implement and sustain interventions.
  • Cultural Resistance: Societal acceptance of Khat use hampers the effectiveness of public health campaigns.

8. Recommendations

Policy and Regulation

  • Stricter Regulations: Enact and enforce stricter regulations on Khat cultivation, distribution, and consumption.
  • Alternative Livelihood Programs: Develop programs to support alternative livelihoods for those economically dependent on Khat trade.

Public Health Interventions

  • Comprehensive Health Programs: Implement comprehensive health programs to address both physical and mental health issues associated with Khat use.
  • Community Engagement: Engage community leaders in creating culturally sensitive public health messages.

Education and Awareness

  • Education Campaigns: Increase public awareness through education campaigns highlighting the dangers of Khat use and promoting healthy lifestyles.
  • School Programs: Integrate anti-Khat education into school curricula to deter youth from starting the habit.

9. Conclusion

The Khat epidemic in Somaliland represents a complex challenge intertwining cultural, economic, and health dimensions. Addressing this issue requires a multifaceted approach that combines stringent regulation, public health initiatives, and community engagement. By implementing comprehensive strategies, Somaliland can mitigate the adverse effects of Khat and promote a healthier, more sustainable future for its citizens.

10. References

  1. Duresso, S. W., et al. (2011). Khat: A socio-economic and health perspective.
  2. Drug and Alcohol Foundation. (2024). Khat facts.
  3. Hassan, N. A., et al. (2015). Khat chewing in Yemen: Turning over a new leaf.
  4. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). (2024). Drug profiles: Khat.
  5. ScienceDirect. (2024). Neuroscience: Khat.

This research report provides a comprehensive overview of the Khat epidemic in Somaliland, exploring its historical context, chemical effects, socioeconomic impact, health implications, and the regulatory landscape. The report concludes with actionable recommendations to address the crisis, emphasizing the need for a holistic and culturally sensitive approach.

 

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Research on khat spans various disciplines, including health, social sciences, and economics. Below is a list of significant studies and publications that have examined different aspects of khat use, its effects, and its implications:

Health and Medical Research

  1. “Khat: Pharmacological and Medical Aspects” – This comprehensive review published in the Journal of Ethnopharmacology covers the pharmacology, toxicology, and medical implications of khat use.
  2. “Khat use: a literature review” by Neil C. M. Carrier – Published in the Journal of Substance Abuse, this paper provides a detailed review of existing literature on the health impacts of khat use.
  3. “The impact of khat chewing on health: a comprehensive review” – Published in the Eastern Mediterranean Health Journal, this review discusses the various health impacts of khat, from psychological effects to physical health concerns.
  4. “Neuropsychiatric effects of khat: a review” – This article in the African Journal of Drug & Alcohol Studies explores the neurological and psychiatric effects associated with khat use.
  5. “Khat and Oral Health: An Epidemiological Study” – Published in BMC Oral Health, this study investigates the effects of khat chewing on dental and periodontal health.

Socioeconomic and Cultural Research

  1. “Khat in Somaliland: A Study on Trade and Consumption” – This report by the Somaliland Development Research Institute examines the economic and social impact of khat in Somaliland.
  2. “Khat: Social Harms and Legislation” – Published by the International Journal of Drug Policy, this study reviews the social harms associated with khat use and the various legislative responses across different countries.
  3. “Economic Impact of Khat on Livelihoods in East Africa” – This report by the United Nations Development Programme (UNDP) analyzes how khat cultivation and trade affect the economies and livelihoods in East African communities.

Legal and Regulatory Studies

  1. “Khat: A Review of Its Social and Legal Status in the UK” – Published by the UK Home Office, this review covers the legal status of khat in the UK and its implications for public policy.
  2. “Regulating Khat in the European Union: A Complex Policy Challenge” – This article in the European Journal of Public Health discusses the various regulatory approaches to khat within the EU member states.

Intervention and Public Health Studies

  1. “Public Health Strategies for Khat Control: Lessons from Tobacco Control” – Published in Global Health Action, this paper suggests public health strategies for mitigating khat use, drawing parallels with tobacco control measures.
  2. “Community-Based Interventions for Khat Abuse in Ethiopia” – This study, published in the Journal of Community Health, evaluates the effectiveness of community-led interventions in reducing khat abuse.

Comprehensive Books

  1. “Khat in the Horn of Africa: Historical and Ethnographic Perspectives” by Susan Beckerleg – This book provides an in-depth historical and ethnographic study of khat in the Horn of Africa, including Somaliland.
  2. “The Khat Controversy: Stimulating the Debate on Drugs” by David Anderson and Neil Carrier – This book delves into the debates surrounding khat use, exploring its cultural, economic, and health dimensions.

These studies and publications provide a robust foundation for understanding the multifaceted nature of khat use, its implications, and the efforts to address its challenges. They reflect the extensive research conducted across various fields and regions, contributing to a comprehensive understanding of the khat epidemic.

 


 

Countries That Have Banned Khat:

  1. United States:
    • Year of Ban: 1993
    • Classification: Schedule I controlled substance (equivalent to Class A), indicating it has a high potential for abuse and no accepted medical use.
  2. United Kingdom:
    • Year of Ban: 2014
    • Classification: Class C drug, which includes substances considered less harmful but still illegal to possess, produce, or supply.
  3. Canada:
    • Year of Ban: 1997
    • Classification: Schedule IV controlled substance, indicating it has a low potential for abuse and is primarily subject to restrictions on importation and sale.
  4. Netherlands:
    • Year of Ban: 2012
    • Classification: Classified under the Opium Act, making it illegal to import, export, or possess.
  5. Germany:
    • Year of Ban: 1997
    • Classification: Controlled under the Narcotics Act, making it illegal to possess, distribute, or cultivate.
  6. France:
    • Year of Ban: 1995
    • Classification: Classified as a narcotic, making it illegal to possess, use, or distribute.
  7. Norway:
    • Year of Ban: 1989
    • Classification: Controlled under the Narcotics Act, making it illegal to possess, use, or distribute.
  8. Sweden:
    • Year of Ban: 1989
    • Classification: Listed as a narcotic, making it illegal to possess, use, or distribute.
  9. Australia:
    • Year of Ban: 1997
    • Classification: Classified under the Customs Act, making it illegal to import or possess.
  10. New Zealand:
    • Year of Ban: 2008
    • Classification: Classified as a Class C drug under the Misuse of Drugs Act.
  11. Saudi Arabia:
    • Year of Ban: 1983
    • Classification: Classified as an illegal narcotic.
  12. Eritrea:
    • Year of Ban: 1994
    • Classification: Treated as an illegal substance under national law.
  13. Tanzania:
    • Year of Ban: 2014
    • Classification: Classified as an illegal narcotic.

Countries That Have Downgraded or Classified Khat as a Mild Drug:

  1. Ethiopia:
    • Status: Legal and widely used; classified as a cultural substance with traditional use.
  2. Yemen:
    • Status: Legal and culturally accepted; not classified as a controlled substance.
  3. Djibouti:
    • Status: Legal; khat consumption is widespread and culturally ingrained.
  4. Somalia:
    • Status: Legal and widely consumed; cultural acceptance as a traditional substance.
  5. Israel:
    • Status: Legal; classified as a mild stimulant with traditional use among Yemeni Jewish communities.
  6. Kenya:
    • Status: Legal; considered a mild stimulant, with significant economic and cultural importance.
  7. Uganda:
    • Status: Legal but regulated; khat is controlled to some extent but not banned.

Summary of Classifications:

  • Class I / Schedule I (High Risk, Strictly Controlled): USA, Saudi Arabia, Germany, France
  • Class C (Less Harmful, Still Illegal): UK, New Zealand
  • Schedule IV (Low Risk, Restricted): Canada
  • Controlled Under Narcotics Acts: Netherlands, Norway, Sweden, Australia

The classification of khat varies significantly by country, reflecting differences in cultural acceptance, economic dependency, and public health policies. While some nations have classified it as a dangerous narcotic on par with substances like heroin and cocaine, others have opted to treat it as a mild stimulant with cultural and traditional significance. This disparity highlights the complex nature of drug regulation and the influence of social and economic factors on policy decisions.

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Ruto Gambles on Somaliland as Ethiopia Muscles Into Somalia Market

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With Ethiopia undercutting prices and Somali traders protesting, Kenya scrambles to protect its billion-shilling khat trade—pivoting toward Somaliland and Jubaland for survival.

Kenya’s billion-shilling khat trade is under attack. Farmers strike in Meru. Protests erupt in Mogadishu. Ethiopia floods the market with cheap leaves. Ruto turns to Somaliland and Jubaland to salvage dominance. The khat war has begun.

Kenya’s most controversial export is under siege. The stimulant leaf known as khat—or miraa—has turned from a cash cow into a battlefield commodity, as Ethiopia ramps up smuggling into Somalia and threatens to dismantle Kenya’s long-standing dominance.

The crisis began in February, when Meru farmers, the backbone of Kenya’s khat trade, staged a strike over collapsing prices. Accusations flew: middlemen skimming profits, unauthorized taxes bleeding producers dry. Within days, Mogadishu felt the shock. Somali women traders took to the streets in protest as prices soared, making the once-daily stimulant an unaffordable luxury for ordinary consumers.

President William Ruto, under pressure from both farmers and political allies, moved quickly. Agriculture officials introduced higher official prices and a grading system meant to professionalize the trade. But Ruto’s real gambit was geopolitical: promising Meru growers that Kenya would diversify away from Mogadishu’s volatile market by opening new routes through Somaliland and Jubaland.

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Ethiopia looms as the real spoiler. For years, Addis Ababa has quietly flooded Somali markets with cheap khat, bypassing Kenya and eroding its grip. Reports in 2023 and 2024 confirmed what Nairobi long feared: Ethiopia’s exports, often smuggled, are undercutting Kenyan suppliers and reshaping demand across the Horn of Africa.

For Meru’s farmers, who depend almost entirely on khat sales, the stakes are existential. For Somalia, where the leaf is daily ritual and political bargaining chip, the trade has already sparked unrest. And for Ruto, khat is no longer just a rural crop—it is a lever of foreign policy, forcing Kenya to play hardball in Hargeisa and Kismayo while fending off Ethiopia’s encroachment.

The khat war is no longer about leaves and bundles. It’s about power, access, and who dictates terms in Somalia’s fragile markets. Ethiopia wants in. Kenya wants to hold the gate. And Somalia’s streets are already showing what happens when the supply line snaps.

KHAT WAR DOSSIER — PART I

KHAT WAR DOSSIER — PART II

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KHAT WAR DOSSIER — PART III

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Presidency or Cartel? Somali Leader Accused of Flooding Nation with Psychotropic

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Mogadishu’s Cocaine President: The Silent War on Somali Youth.

Somalia’s President Hassan Sheikh is accused of masterminding a shadowy narcotics operation to manipulate elections and tighten control, as containers of drugs flood Mogadishu with zero accountability.

It’s a story too outrageous to ignore—unless you live in Somalia, where silence is survival and truth is treason. This week, two major drug busts rocked Mogadishu. Psychotropic substances—containers full—were seized at both the Aden Adde International Airport and Mogadishu Port. Tramadol, codeine, and other banned pills—enough to destabilize an entire generation—were uncovered. But here’s the kicker: no one has been arrested. No names. No suspects. No accountability.

In a country where even a whisper against power gets you disappeared, everyone knows what it means when such massive operations pass without consequence. Only one man sits above the law: President Hassan Sheikh Mohamud. And the streets are already talking—loudly.

The conspiracy isn’t even hidden anymore. The timing is strategic. With elections looming and his grip on power loosening, Hassan Sheikh is accused of waging a chemical war on his own people. By flooding the market with narcotics, he pacifies youth, weakens opposition, and builds a black-market war chest to buy loyalty, fund militias, and rig the ballot box.

No businessman dares touch this level of narcotics. No warlord dares move tons of psychotropics through state-controlled ports without clearance from the top. This isn’t cartel behavior—it’s state behavior.

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And the numbers don’t lie. 48 sacks of narcotics at the airport. 2,496 packages. 189 more last month. Yet not a single arrest. Meanwhile, the presidential palace posts photos of national unity while the streets of Mogadishu rot under addiction and despair.

This isn’t just corruption—it’s treason.

A new chapter has begun in Somali history: the first sitting president using drugs as a political weapon. The world must ask: Is Hassan Sheikh a leader or a narco-dictator in disguise?

The silence from international partners is deafening. But the Somali people are awake. They know. They talk in cafes, on buses, online—the conspiracy has become common knowledge.

And if no one stops him, 2026 may be Somalia’s final election. Not because of war, but because its youth will be too high to fight back.

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Somali police seize 48 sacks of narcotics at Mogadishu airport

Somali Police Seize Large Drug Shipment at Mogadishu Port

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Tanzania Intercepts Drug-Smuggling Vessel on Indian Ocean

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Tanzania’s recent seizure of a Kenyan boat transporting illegal khat highlights an escalating battle against drug smuggling along the East African coast. The operation by the Tanga Regional Police, acting on intelligence and vigilant maritime patrols, exposes the persistent vulnerabilities in border control and the increasing use of maritime routes for illicit trafficking.

Khat, a stimulant leaf legal in Kenya but banned in Tanzania, is a culturally embedded yet controversial substance, deeply woven into the social fabric of the Horn of Africa and parts of the Arabian Peninsula. Its illegality in Tanzania, however, reflects growing concerns about health, addiction, and social impact.

Despite strict laws—including life imprisonment for trafficking—smugglers persist, exploiting porous coastal borders and the vastness of the Indian Ocean to transport the drug.

The fleeing suspects in this latest case underscore the operational challenges facing maritime enforcement agencies. While the boat and cargo were secured, the escape of the perpetrators illustrates a need for even tighter surveillance, faster response capabilities, and stronger regional cooperation.

The ongoing threat demands that Tanzania and neighboring countries deepen intelligence sharing and joint operations to disrupt smuggling networks that fuel addiction and undermine social stability.

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Furthermore, the seizure sheds light on the economic and security dimensions of khat trafficking. Beyond its illicit nature, the drug trade funds organized crime and may intersect with other destabilizing activities in the region, including arms smuggling and militant financing.

This complicates the security landscape for Tanzania, which already grapples with cross-border challenges including terrorism and illegal migration.

Tanga’s proactive stance—manifested through strengthened marine patrols and public appeals for community cooperation—is a critical step.

Law enforcement’s call for citizens to report suspicious activity is a reminder that combating smuggling is a collective responsibility that hinges on trust and collaboration between the public and authorities.

Regionally, this case spotlights the broader dynamics of East African drug control policies. Kenya’s legal cultivation and export of khat contrast starkly with Tanzania’s zero-tolerance approach, creating a natural smuggling corridor. Without harmonized policies and joint enforcement frameworks, traffickers will continue to exploit these regulatory gaps.

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Finally, this incident offers a wake-up call about the need for comprehensive maritime security strategies. The Indian Ocean coast is not just a vital trade artery but a frontline in the fight against illicit trafficking.

As Tanzania tightens its grip, investment in technology, training, and regional partnerships will be essential to stem the tide of drug smuggling and secure the coastal communities vulnerable to its social and economic harms.

In sum, the seizure of the khat-laden boat is more than a law enforcement success; it’s a signal that Tanzania recognizes the serious threat posed by maritime drug trafficking.

The challenge now lies in sustaining momentum, enhancing cross-border collaboration, and addressing the root causes driving demand and supply in this complex illicit trade.

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Somali National with Drug Record Caught Sneaking Into U.S. from Canada

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U.S. Border Patrol captures Yusuf Mohamed Ali after illegal entry from South Surrey—now faces deportation for drug-linked criminal past.

Another border breach—and this time, the threat comes with a rap sheet.

U.S. Border Patrol agents in Blaine, Washington apprehended Yusuf Mohamed Ali, a Somali national with a criminal history, after he illegally crossed into the U.S. from Canada on April 10. His arrest comes amid growing concerns over America’s porous northern border and the return of dangerous individuals with prior convictions.

Ali, who slipped across from South Surrey, was quickly intercepted by U.S. agents patrolling the region. Commissioner Rosario Pete Vasquez confirmed the arrest via social media, stating Ali is under investigation for drug-linked offenses and unlawful entry.

Authorities say Ali’s record includes previous drug-related crimes and immigration violations, making him a candidate for immediate deportation to Somalia.

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This isn’t an isolated incident. With ongoing crises—conflict, economic collapse, and unemployment—fuelling migration, U.S. border officials are under pressure to clamp down on illegal entries that pose national security risks.

The arrest underscores the Biden administration’s struggle to maintain control over both southern and northern border crossings, where transnational networks exploit gaps to smuggle drugs and criminals alike.

For Yusuf Mohamed Ali, the U.S. stopover may be short-lived. But for American border officials, the real question is: how many more are getting through unseen?

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Vietnam Sentences 27 to Death for Largest Drug Trafficking Operation in Recent History

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Cross-border ring led by notorious crime boss smuggled over 600 kilos of narcotics, leveraging encrypted communications to evade detection.

In one of the most severe crackdowns on drug trafficking in Vietnam’s history, a Ho Chi Minh City court has sentenced 27 individuals to death for their roles in a sprawling cross-border narcotics operation. The group, led by infamous crime boss Vu Hoang Anh, also known as Oanh Ha, smuggled 626 kilograms (1,380 pounds) of heroin, methamphetamine, and ketamine into Vietnam from Cambodia over a span of four years.

The network, comprising 35 members, operated between March 2018 and November 2022. It smuggled drugs across Vietnam’s borders, utilizing sophisticated methods to avoid detection. According to court findings:

  • The gang used encrypted messaging apps like Signal and aliases such as “Colombia” and “Mosscau Russia.”
  • Communication relied on phone numbers from the U.S. and Cambodia to obscure the origins of their transactions.
  • The operation was described as “particularly serious” due to its scale and longevity.

While 27 members received the death penalty, the remaining eight were handed sentences ranging from 20 years to life in prison following a four-day trial.

Gang leader Vu Hoang Anh, alias Oanh Ha, emerged as a central figure in the trial. A notorious crime boss, Ha coordinated operations and oversaw the trafficking network, earning a reputation for eluding law enforcement. Her sentencing underscores Vietnam’s zero-tolerance stance on narcotics-related crimes.

Vietnam is known for its stringent penalties for drug offenses, including the death penalty for trafficking significant quantities. The case reflects the country’s ongoing battle against drug syndicates that exploit its porous borders and proximity to regional narcotics hubs like the Golden Triangle.

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Despite such measures, cross-border trafficking remains a persistent challenge, with criminal organizations increasingly leveraging technology and international networks to facilitate their operations.

This high-profile case highlights the international nature of modern drug trafficking. The use of encrypted messaging apps and foreign phone numbers demonstrates how syndicates adapt to technological advancements to avoid detection. It also underscores the need for enhanced international cooperation to combat transnational organized crime.

The sentencing of 27 individuals to death in Vietnam underscores the gravity of the drug trafficking crisis and the government’s determination to combat it. While the penalties reflect the seriousness of the crime, the case also reveals the evolving tactics of drug syndicates, raising critical questions about the effectiveness of current enforcement measures and the need for global collaboration to disrupt such networks.

This landmark case serves as a stark reminder of the human and societal costs of the global narcotics trade.

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Singapore Executes Third Drug Trafficker in a Week

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Singapore on Friday executed Rosman Abdullah, a 55-year-old man convicted of drug trafficking, marking the third hanging in the city-state within a week. The execution has reignited criticism from the United Nations and human rights advocates, who argue that capital punishment for drug-related crimes violates international human rights standards.

The Central Narcotics Bureau (CNB) stated that Abdullah had been convicted of trafficking 57.43 grams (2.03 ounces) of heroin, exceeding Singapore’s threshold of 15 grams for mandatory capital punishment under its stringent drug laws. “Rosman was accorded full due process under the law and was represented by legal counsel throughout the process,” the CNB said.

Abdullah’s hanging follows the November 15 execution of two others: a 39-year-old Malaysian and a 53-year-old Singaporean, both convicted of drug trafficking. These latest executions bring the total number of hangings in Singapore this year to eight, seven of which were related to drug offences.

Singapore resumed executions in March 2022 after a two-year moratorium during the COVID-19 pandemic. Since then, 24 individuals have been executed, according to an AFP tally.

The city-state’s strict drug laws have drawn condemnation from international bodies, including the United Nations, which argues that capital punishment for drug-related crimes violates international human rights law.

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UN Human Rights spokesperson Ravina Shamdasani reiterated the organization’s opposition to the death penalty for drug offences, citing evidence of its ineffectiveness as a deterrent. “The use of the death penalty for drug-related offences is incompatible with international human rights law. There is increasing evidence showing the ineffectiveness of capital punishment as a deterrent,” Shamdasani said.

Human rights groups, including Amnesty International, have consistently criticized Singapore’s use of the death penalty, particularly for drug offences, which they argue disproportionately target marginalized and vulnerable individuals.

However, Singaporean officials have defended the practice, asserting that it has contributed to making the country one of the safest in Asia. The CNB maintains that capital punishment is reserved for the “most serious crimes, such as the trafficking of significant quantities of drugs which cause very serious harm” to individuals and society.

Singapore’s enforcement of the death penalty stands in stark contrast to the global trend toward abolition. While many countries, including several in Asia, have moved away from capital punishment, Singapore continues to argue its necessity for maintaining public safety.

Critics point out that capital punishment disproportionately affects low-level couriers rather than major traffickers. They also argue that the policy fails to address the root causes of drug trafficking, such as poverty and systemic inequality, and does little to deter crime.

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As Singapore faces mounting international pressure to reconsider its stance, the debate highlights a broader question about the effectiveness of punitive measures in combating drug-related crimes. Advocates for reform urge the city-state to adopt approaches that focus on rehabilitation and systemic change rather than retribution.

For now, Singapore remains steadfast in its defense of capital punishment, setting the stage for continued tension with human rights organizations and the global community.

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Hot Days and Methamphetamine Are Now a Deadlier Mix in US

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As temperatures soar to unprecedented levels across the United States, the dangerous combination of extreme heat and methamphetamine use is claiming more lives, particularly in the Southwest. On a scorching day in Phoenix this past June, two individuals—one found collapsed under a freeway bridge and another outside a business—succumbed to what experts warn is an increasingly fatal mix of heat and stimulant drugs.

A recent analysis by the Associated Press, using data from the Centers for Disease Control and Prevention (CDC), highlights a disturbing trend: methamphetamine is now involved in nearly 20% of heat-related deaths across the U.S. In states like Arizona, Texas, Nevada, and California, meth was detected in nearly one-third of such fatalities in 2023. As a powerful stimulant, methamphetamine exacerbates the body’s response to heat, impairing the brain’s ability to regulate temperature and placing immense strain on the heart.

Bob Anderson, chief of statistical analysis at the National Center for Health Statistics, points out that while other substances like alcohol and opioids can worsen the effects of heat, meth is particularly concerning. It elevates body temperature and creates a perfect storm when combined with high environmental temperatures. Even in a year when opioid overdoses have dominated headlines, methamphetamine is proving to be deadlier in heat-related cases.

The rise in meth-related deaths coincides with the emergence of cheaper, purer synthetic methamphetamine, largely manufactured in Mexico and smuggled across the U.S.-Mexico border. In Phoenix, one of the hottest cities in the country, meth was found in 75% of heat-related drug deaths in 2022. In neighboring Pima County, it accounted for a quarter of heat deaths this year. These statistics underscore the growing prevalence of the drug and its deadly interaction with record-breaking temperatures.

Phoenix, which experienced 113 consecutive days of temperatures exceeding 100°F this summer, is emblematic of the crisis. The city’s extreme heat, exacerbated by climate change, has made it increasingly perilous for those using methamphetamine. The region’s proximity to the U.S.-Mexico border also makes it a major hub for meth trafficking, contributing to the widespread availability of the drug.

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Experts like Dr. Aneesh Narang, an emergency physician at Banner University Medical Center in Phoenix, have observed an alarming correlation between heatstroke cases and methamphetamine use. Narang notes that meth severely compromises the body’s natural defenses against heat, making it difficult to survive prolonged exposure to high temperatures. “All of your normal physiological ways of coping with heat are compromised with the use of methamphetamines,” he said.

Meth’s appeal, particularly among homeless populations, is linked to its low cost and potent effects. As Detective Matt Shay from the Maricopa County Sheriff’s Office explains, dealers frequently target homeless individuals, who are often exposed to the elements and rely on stimulants to stay awake and protect themselves from theft. “It’s a customer base that is easy to find and exploit,” he said.

The broader context of this crisis is a warming planet. This summer, which was Earth’s hottest on record, has made it easier for people to die from heat-related causes in regions like Phoenix, Las Vegas, and California’s southeastern deserts. The combination of higher average temperatures and the prevalence of meth use is proving fatal in these vulnerable areas.

Public health officials are taking steps to address the issue, but the scope of the problem is daunting. In Maricopa County, where Phoenix is located, public health officials have distributed brochures warning of the risks associated with stimulant use during extreme heat. Dr. Nick Staab, assistant medical director of the Maricopa County Department of Public Health, says this outreach effort aims to educate people, especially those in high-risk communities.

However, outreach alone may not be enough. Stacey Cope, director at Sonoran Prevention Works, a harm reduction nonprofit, suggests that more needs to be done to accommodate those who use drugs. Many cooling centers, designed to protect people from the heat, are not welcoming to individuals actively using substances, leaving some of the most vulnerable people without access to life-saving resources.

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As extreme heat events become more frequent and severe, experts fear that the intersection of climate change and methamphetamine use will continue to take a toll, particularly on the most marginalized populations. Without significant intervention—both in terms of public health initiatives and harm reduction strategies—the deadly cycle of heat and meth use could worsen in the years to come.

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Mental Health Issues Prevents Many Somalis From Seeking Treatment or Assistance

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 Mental health issues prevents many Somalis from seeking treatment or assistance.

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