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How Sierra Leone's Youth Got Hooked On Deadly "Kush" Drug

Kush, a synthetic cocktail usually made from marshmallow leaves, first appeared in Sierra Leone in the early 2020s and quickly spread across Liberia, Guinea, the Gambia, Guinea-Bissau and Senegal.

It is soaked in industrial chemicals, and is increasingly mixed with opioids up to 25 times stronger than fentanyl, according to a recent report by the Global Initiative Against Transnational Organised Crime. The report said kush is likely behind thousands of deaths in West Africa.

Cheap to produce and highly addictive, the Sierra Leonean government declared kush a public health emergency in April 2024, but the drug keeps spreading - overwhelming families, police and the fragile healthcare system.

InFocus

Kush is making inroads among Sierra Leone's youth, although the precise composition of the drug is not always the same.

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