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Fewer people think of the legal opioids such as cough syrup or painkillers, which can induce effects similar to those of heroin. The non-medical, recreational use of such drugs has risen dramatically in the last 10 years worldwide. Around the African continent, the drugs are easily accessible and are often smuggled across borders without any medical control. There are no exact figures, he says, but he and his colleagues recently alerted the UN to the severity of the situation in Africa, which especially affects countries like Ghana, Nigeria, Mali, Burkina Faso and Togo. The drug that mostly comes into focus is the painkiller Tramadol. One of the few countries which has reliable data on the crisis is Egypt. A UN supported study together with Egypt's health ministry found that around , people in the north African country are addicted to opioids, with half of them using Tramadol. It also found that two-thirds of patients being treated for addiction in Egypt's state institutions are addicted to Tramadol. For over 15 years, the UN has warned countries about the illegal, yet increasingly professional trade in pharmaceuticals. Read more: Britain's opioid crisis takes on US dimension. Africa is particularly affected. It was brought onto the market in under the name Tramal. When the original patent expired, Indian generic producers started manufacturing the drugs on a large scale for the African market. Chinese, Nigerian and Ghanaian companies followed suit. The trafficking of the drugs is relatively easy, explains Nice. After all Tramadol is a legal pharmaceutical and not an illicit drug. The problem is, however, not entirely confined to Africa. North American is struggling with similar problems. On the African continent there are fewer controls. For criminal networks, Africa is a perfect opportunity to earn money, says Nice. The result is that the drug in flooding particularly West Africa. In Ghana, Tramadol — or 'Tramore' — is popular and even used as a potency enhancer. In Gabon, it is called 'Kobolo' and students are known to take it as a performance enhancing stimulant during exams. In Sudan's capital Khartoum, workers add a tablet of Tramadol to their tea to help them endure their physical work. Read more: Fighting the spread of fake drugs in Africa. He works at the Kara hospital in northern Togo and says that his facility is unable to deal with the high number of patients trying to get help for their substance abuse. The illicit Tramadol, available on the black market often contains extremely high dosages of the drug and is therefore especially addictive, says Wenkourama. Nice from the UN supports this statement. But some of these are two, three, four hundred dosages which are far beyond typical dosages for human consumption. They feel stronger, more awake and more able to perform. But they quickly become addicted,' he says. Wenkourama, who is currently conducting research on the drugs, isn't sure where the drugs that are available in Togo are produced, but he believes that they are smuggled in from the neighboring countries, Nigeria and Benin. Boko Haram in Nigeria, for instance, have been reported to be using the drugs to instill feelings of fearlessness and a readiness to fight in their members. The drugs are simply available in any large market. Latest videos Latest audio. Latest audio Latest videos. In focus. World in Progress: Helping Drug addicts in Dakar There are just a handful of medical centers in Africa that use needles and substitute drugs to help addicts. The only center in West Africa is located in Dakar, Senegal. The hope is to reduce the rate of HIV and Aids among drug addicts in the capital - while helping them ditch illegal drugs. Yet it's just a start to address drug addiction in Senegal and across the region. Egyptian court convicts British woman of Tramadol smuggling. Egyptian court convicts British woman of Tramadol smuggling A British woman has been sentenced to three years in jail for smuggling the painkiller Tramadol into Egypt. The drug is illegal there because of its wide use as a heroin substitute. On the front line of the opioid epidemic in the US. On the front line of the opioid epidemic in the US Cheryl, a year-old woman from Phoenix, has adopted her 3-year-old great-grandniece Jessie, who was an addict before she was even born, suffering from drug withdrawal symptoms at birth. Eline van Nes reports. Related topics.

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Cascais buying MDMA pills

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Cascais buying MDMA pills