Month: October 2022

Authorities in Cameroon say they are struggling to contain a cholera outbreak in an overcrowded refugee camp on its northern border with Nigeria. In the past week, three people have died in the Minawao refugee camp and at least 81 have been infected from the bacteria, which spreads through dirty water and food. The camp was designed to hold fewer than 15,000 refugees but currently has more than five times that number.

The camp located on Cameroon’s northern border is home to 76,000 Nigerians who have fled Boko Haram terrorist attacks.

Helen Ngoh, spokesperson for UNHCR Cameroon says the U.N. body needs support to contain the ongoing wave of infections and to prevent future outbreaks in the refugee camp.

“In Minawao specifically UNHCR needs at least 450,000 U.S. dollars to be able to increase portable water supply and also to be able to cover an existing gap of 900 latrines and to be able to improve waste management in the camp as well. All of these needs are extremely urgent at this point,” she said.

UNHCR says it is investigating suspected cases and treating patients free of charge. The refugee agency says it is also finding out if the disease has spread to host communities.

Ngoh said several hundred humanitarian workers have been deployed to the camp and host communities to educate refugees on prevention measures, which she said are basically respecting hygiene rules.

Nigerian refugee Special Bulama is among aid workers raising awareness about the outbreak and teaching civilians good hygiene practices.

Bulama says he has personally spoken about the disease to scores of families in the camp.

“We are telling the refugees to take care of themselves, they must boil water before they take [drink], they must wash their hands with Sabulu [soap], keep their latrines very safe because flies can take this disease to their food or to their water. We are telling them to help us to avoid this problem of cholera,” he said.

Cameroon’s Ministry of Public Health has confirmed the outbreak. Government health officials say at least 22 people have died of cholera in several villages on Cameroon’s northern border with Nigeria and Chad. Humanitarian workers and health officials say many more people may be infected or are feared dead in difficult to access villages within the past two weeks.

The U.N. reports that up to October, more than 1,000 cases of cholera were reported in Nigeria.

Cameroon says hospitals in border localities are overwhelmed.

Officials in Cameroon say they are engaged in discussions with Nigeria and Chad to jointly combat cholera, a bacterial infection that causes severe diarrhea and dehydration, usually spread through contaminated water. It can be fatal if not treated.
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Photos of Zarghoona Wadood sightseeing in Egypt with two other wheelchair-using women went viral last year in Pakistan, becoming a symbol of what women with disabilities can do.

Wadood was just 7 months old when polio paralyzed her legs. Her parents didn’t know to get her vaccinated.

“I can’t even move from my bed unless the wheelchair is near me … the wheelchair is a part of me now,” Wadood, now 38 and employed with the U.N. World Food Program, told VOA.

She is one of thousands of Pakistanis disabled by polio, an incurable and highly infectious viral disease that can infect a person’s spinal cord, causing muscles to stop working.

The invention of polio vaccines in the 1950s and 1960s wiped the disease from the industrialized world, and the Global Polio Eradication Initiative launched in 1988 largely eliminated the disease through mass vaccination campaigns in the developing world as well.

As the global health community marks World Polio Day on Oct. 24, only Pakistan and Afghanistan continue to grapple with the wild polio virus.

In Pakistan

After 15 months without any reported cases of the wild polio virus, Pakistan has recorded 20 cases since April — 17 in the former tribal region of North Waziristan that borders Afghanistan and three from nearby areas.

Dr. Shahzad Baig, who leads Pakistan’s Polio Eradication Program blames a poor security situation, migration patterns, harassment of polio teams, mistrust of the vaccine, and complicity among members of local communities and polio workers to find ways to circumvent vaccination enforcement.

“They are not confident that [the vaccine] is safe for the children,” Baig told VOA. “They think that the government is forcing this vaccine on the children, [so] there is some hidden agenda.”

Despite Pakistan’s decades-long Polio Eradication Program, many Pakistanis still believe the vaccine will make their children infertile or that it contains pork-based ingredients forbidden by Islamic scripture. In 2019, a rumor that the vaccine was making children sick caused a spike in refusals. That year ended with Pakistan recording 149 cases, significantly more than the year before.

And the vaccine has become a bargaining chip used to pressure the government to meet a community’s needs.

“So, the roads, the bridges, you know, electricity and anything they want there, when the campaign comes, they will say, ‘You do that and that is when we will accept the vaccination,’” Baig said.

Local customs also leave children vulnerable to the virus. Often male health workers cannot enter homes in the absence of a male member of the household. In more conservative communities that don’t allow women to work, the lack of female polio workers further limits access to children.

Baig told VOA that less than 1% of polio team members in former tribal areas are women.

Saira Abid, a polio worker from North Waziristan, told VOA it breaks her heart that most of the polio cases were recorded in her ancestral village.

Displaced by the military operation against terrorists in 2014 and forced by financial hardship to break tradition, Abid has been working as a community health worker in Peshawar since 2015.

“Whenever I go to my village, I see the word ‘locked’ chalked on the wall because men are not allowed to go inside,” Abid said. During a mass-vaccination campaign, polio workers mark the vaccination status of each household on a wall by the main door.

While Abid feels comfortable working in Peshawar’s urban setting, she says it’s not safe for her to work in her village because of strict local customs and the presence of militants. In June, three members of a polio team were killed and another injured in North Waziristan.

Safety is a long-running issue for polio workers in Pakistan. Many have been killed by either militants who see vaccination as part of a Western agenda or attacked by parents angry at being pressed to vaccinate their children.

In Afghanistan

Polio worker safety is also an issue across the border in Afghanistan, where eight polio workers were killed in separate attacks in February.

Remarkably, Afghanistan has recorded only two cases of wild polio virus so far this year, indicating the lowest level of the virus in the country’s history, according to the World Health Organization.

However, Afghanistan’s cases of vaccine-derived polio stand at 43. The vaccine uses a weak form of the polio virus, which can sometime infect a separate, unvaccinated person.

“If we succeed to implement the planned polio campaigns with high coverage of 95%, we can interrupt the circulation of polio virus by the end of 2022,” Kamal Shah Sayed, a UNICEF spokesperson in Afghanistan, told VOA earlier this year.

The Taliban pledged support for polio campaigns after taking control of Afghanistan last August, but for three years before that, they banned vaccination drives in areas under their control.

Since November 2021, at least seven campaigns have been conducted in Afghanistan.

World Polio Day

On World Polio Day, Afghanistan is wrapping up an immunization campaign while Pakistan is launching one.

From 3.6 million children inaccessible in Afghanistan in 2018, a WHO statement in August said the number of children missing vaccination had fallen to 700,000.

In Pakistan, despite frequent anti-polio drives, more than 400,000 children are missed every year, according to the U.S.-based Centers for Disease Control and Prevention.

Dr. Baig of Pakistan’s Polio Eradication Program is concerned that the summer’s massive flooding has increased the risk of polio spreading via unsanitary conditions, and flood victims unhappy with government relief efforts may boycott the campaign to pressure authorities to provide them better facilities.

Zarghoona Wadood, who toured Egypt last year, is also a disability rights activist. She wants parents to learn from her experience and vaccinate their children against polio, just as her parents did for her three younger siblings.

“No matter what I am, I still have a disability, everybody cannot have the same strength that I have,” Wadood told VOA. “A lot of people give up and they isolate themselves … so why are you doing this to your children?”
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India launched a rocket carrying 36 private internet satellites on early Sunday, stepping in to keep the orbital constellation growing after a monthslong interruption related to the war in Ukraine.

The liftoff from southern India was the first launch for London-based OneWeb since breaking with the Russian Space Agency in March because of Moscow’s invasion of Ukraine.

“We have accomplished the orbit very accurately, now the rocket is in its intended orbit,” said S. Somanath, the chairperson of India’s space agency. He said 16 satellites were put into orbit and expressed optimism that “the remaining 20 satellites will get separated as safely as the first of the 16.”

OneWeb now has 462 satellites flying — more than 70% of what the company said it needs to provide broadband services around the world. Despite this year’s disruption, OneWeb said it remains on track to activate global coverage next year with a planned constellation of 648 satellites. It’s already providing service in the northernmost latitudes.

Each OneWeb satellite weighs about 330 pounds (150 kilograms).

It was the 14th launch of OneWeb satellites and relied on India’s heaviest rocket, normally reserved for government spacecraft. All of the previous OneWeb flights were on Russian rockets; the first was in 2019.

The launch is important for India and reflects the gradual opening of its space agency to private customers, said Rajeswari Pillai Rajagopalan, a director specializing in space and security at the Observer Research Foundation in New Delhi.

Rajagopalan said India is an expert at launching smaller satellites and has been trying to corner this market, pitching itself as a satellite launch facility.

With the war in Ukraine still raging, it could open an opportunity for India as many countries shun Russian launch services.

“It could spur that trend in a big way,” she said.
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Two more people in an isolation unit of Uganda’s main hospital have tested positive for Ebola, bringing total cases recorded in the facility to five, the health minister said on Sunday.

The five confirmed cases in Kampala are the first known transmission of the virus in the city, coming days after the information ministry said the country’s Ebola outbreak was coming under control and was expected to be over by the end of the year.

Health Minister Jane Ruth Aceng said on Saturday that three patients among 60 people in isolation at Kampala’s Mulago Hospital tested positive for the disease a day earlier.

She had said the three infected people had been in contact with a patient from Kassanda district in central Uganda who had died in Mulago.

“Two more contacts to the Kassanda case, who are quarantined in Mulago Isolation facility, tested positive for Ebola yesterday…” Aceng said on Twitter.

She added the two had been transferred to a treatment unit at a hospital in Entebbe, 41 km (25 miles) away.

The government has introduced a three-week lockdown around the Mubende and Kassanda districts in central Uganda, the epicenter of the outbreak of the Sudan variant of the Ebola virus.

A government statement on Friday said the outbreak had by then infected 65 people and killed 27. It was not clear if the numbers included the three first new Kampala cases.

The government said last week two other cases of Ebola confirmed in Kampala had come from Mubende and were regarded as originating there, not the capital.
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U.S. health regulators Friday estimated that BQ.1 and closely related BQ.1.1 accounted for 16.6% of coronavirus variants in the country, nearly doubling from last week, while Europe expects them to become the dominant variants in a month. 

The European Center for Disease Prevention and Control said the variants are likely to drive up cases in the coming weeks to months in the European region. 

The two variants are descendants of Omicron’s BA.5 subvariant, which is the dominant form of the coronavirus in the United States. Regulators in Europe and the U.S. have recently authorized vaccine boosters that target it. 

There is no evidence yet that BQ.1 is linked with increased severity compared with the circulating Omicron variants BA.4 and BA.5, European officials said, but warned it may evade some immune protection, citing laboratory studies in Asia. 

“These variants [BQ.1 and BQ.1.1] can quite possibly lead to a very bad surge of illness this winter in the U.S. as it’s already starting to happen in Europe and the U.K.,” said Gregory Poland, a virologist and vaccine researcher at the Mayo Clinic. 

In the U.S., weekly cases have been falling recently, according to data from the U.S. Centers for Disease Control and Prevention (CDC). 

The amount of coronavirus found in wastewater samples tested by Biobot Analytics has been basically flat around the United States over the last six weeks. Wastewater samples often predict possible spikes in COVID-19 ahead of the CDC data. 

New variants are monitored closely by regulators and vaccine manufacturers in case they start to evade protection offered by current shots. 

The World Health Organization this week said BQ.1.1 is circulating in at least 29 countries. 

The U.S. CDC said Friday that BQ.1 and BQ.1.1 last week were estimated to make up 9.4% of circulating variants. 
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As China’s ruling Communist Party holds a congress this week, many Beijing residents are focused on an issue not on the formal agenda: Will the end of the meeting bring an easing of the at times draconian “zero-COVID” policies that are disrupting lives and the economy?

It appears to be wishful thinking. As the world moves to a post-pandemic lifestyle, many across China have resigned themselves to lining up several times a week for COVID-19 tests, restrictions on their travels to other regions, and the ever-present possibility of a community lockdown.

“There is nothing we can do,” Zhang Yiming, 51, said this week at a park in Beijing. “If we look at the situation abroad, like the United States where over 1 million people have died, right? In China, although it is true that some aspects of our life are not convenient, such as travel and economy, it seems that there is no good solution.”

People are looking to the party congress, which ends Saturday, for two reasons. The meeting, which is held every five years and sets the national agenda for the next five, can send signals of possible changes in policy direction.

Secondly, authorities always tighten controls — COVID-19 and otherwise — before and during a major event to try to eliminate disruptions or distractions, so they could relax controls when the event ends.

Any hopes for an easing, though, appear to have been dashed before the congress. The Communist Party’s newspaper, the People’s Daily, published a series of opinion pieces on the effectiveness of China’s “zero-COVID” approach, and health officials said last week China must stick with it.

China’s leader, Xi Jinping, praised the policy at the opening ceremony of the congress. He said it had prioritized and protected people’s health and safety and made a “tremendous achievement in striking the balance between epidemic response and economic and social development.”

After an initial outbreak in early 2020 that killed more than 4,000 people and overflowed hospitals and morgues, China was largely successful in taming the virus while other countries were overwhelmed with it — a contrast trumpeted in Communist Party propaganda.

Then came omicron in late 2021. China had to employ ever more widespread restrictions to control the faster-spreading variant, locking down entire cites and starting regular testing of practically the entire population of 1.4 billion people.

The measures have bred simmering discontent, fed by instances of harsh enforcement that in some cases had tragic consequences.

During a two-month lockdown of Shanghai last spring, videos widely shared on social media showed officials breaking down apartment doors to drag unwilling residents to quarantine facilities. Children were also separated from their parents, because one or the other was infected.

Instances of hospitals denying treatment because of pandemic rules sparked outrage, including a woman in labor who lost her baby after she wasn’t allowed into a hospital during a lockdown of the city of Xi’an because she couldn’t show a negative COVID-19 test result.

While public protests are relatively rare in China, some people took to the streets in Shanghai and Dandong to protest harsh and prolonged lockdowns.

Last week, three days before the congress opened, banners were flung over an elevated roadway calling for Xi’s overthrow and an end to the “zero-COVID” policy. The incident spilled over into at least one other city, where photos shared on Twitter showed similar statements posted on a bus stop in the city of Xi’an.

Andy Chen, senior analyst at Trivium China, a Beijing-headquartered policy consultancy, said restrictions beyond the party congress should come as no surprise.

“All the conditions that have forced the government to put zero-COVID in place haven’t really changed,” he said, singling out the lack of an effective vaccine and the absence of sound home quarantine rules.

Even though vaccines are widely available, China’s homegrown versions don’t work as well as the Pfizer, Moderna and other shots developed elsewhere. China also has resisted vaccine mandates, keeping down vaccination rates. As of mid-October, 90% had received two shots, but only 57% had a booster shot.

Beijing authorities have doubled down on the hardline coronavirus policies during the congress.

Highway checkpoints into the city are heavily policed, with all entrants required to show a “green” code on a mobile phone app to prove they haven’t traveled to medium or high-risk areas.

Some express commuter bus lines between Beijing and neighboring Tianjin city and Hebei province have been suspended since Oct. 12.

Anyone who has been in a city, district, or neighborhood where even one case of coronavirus has been found within seven days is banned from entering the Chinese capital.

Within the city, the daily lives of residents are dictated by their health codes. They must use an app to scan the QR code of any facility they enter to show their status and log their whereabouts.

Without a green code and a negative coronavirus test result within 72 hours, people are not allowed into office buildings, shopping malls, restaurants and other public places. The policy means most of Beijing’s 21 million-plus residents take a coronavirus test at least two to three times a week.

And there is always the risk of a sudden lockdown. Officials in hazmat suits guarded entries to gated communities this week in Fengtai district, where five neighborhoods have been categorized as high-risk. Residents were not allowed to leave their compounds, and some shops were forced to close.

While the party congress has not provided the watershed moment that some have been hoping for, it may turn out to be the point at which the government begins to lay the groundwork for a long process of loosening restrictions, said Dr. Yanzhong Huang, director of the Center for Global Health Studies at Seton Hall University and an expert on public health in China.

Some factors suggest the government will be in no rush to open up, including a broad acceptance of the policy among those who are inconvenienced but have not experienced prolonged or repeated lockdowns.

“The vast, vast majority of the population goes on with their lives, unaffected, and that’s a much better policy from the government perspective to implement than, for example, forcing a vaccine mandate through the population,” Chen said.

But Huang noted signs of social instability, especially among the middle class and urban residents.

“I think the question is whether it has reached a tipping point that people really find this is not acceptable anymore,” he said. “We cannot tolerate that anymore. It remains to be seen even in the large cities, you know, how people are willing to tolerate draconian measures.”
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The Biden administration’s announcement earlier this month that it would ban the transfer of advanced U.S. semiconductor technology to China continues to reverberate through global markets. The ruling by the Department of Commerce affects not only U.S. firms that sell to China but any company whose products contain American semiconductor technology.

In mainland China, according to Bloomberg News, officials from the Ministry of Industry and Information Technology have been summoning executives from domestic semiconductor manufacturers to assess how being deprived of high-tech manufacturing tools from overseas would impact their businesses. And companies that rely on imports of high-end semiconductors are assessing the viability of their businesses going forward.

In the U.S., semiconductor companies and other tech firms that count China among their largest single markets are facing potentially severe damage to their revenues. Other companies that manufacture tech products in China are having to recall U.S. employees because the ban also bars “U.S. persons” from supporting technology covered by the ban.

Internationally, large chipmakers, such as Taiwan Semiconductor Manufacturing Company and South Korea’s Samsung, as well as Netherlands-based ASML, which makes chip manufacturing equipment, are reassessing their business with China as they explore how deeply the new rules will cut into their sales.

“It really is reshaping the market,” said James Lewis, senior vice president and director of the Strategic Technologies Program at the Center for Strategic and International Studies. “The Koreans, the Taiwanese and some American companies are really nervous about it. I mean, everyone’s asking, ‘What can I still sell to China?’ And in some cases, the answer is ‘nothing,'” he told VOA.

Targeting China’s military

The Biden administration has characterized the ban as a national security measure, saying that withholding highly sophisticated semiconductors from China will hamper the development of Chinese weapons and surveillance technology.

The trouble is that the same technology that goes into Chinese weapons systems is also necessary for other goods, including electric vehicles, an area in which China is significantly further advanced than the U.S.

It remains unclear precisely how U.S. authorities will enforce the ban. It primarily targets the most advanced chip technology available, meaning that “mature” chip technology — older and less sophisticated chips — will not be affected.

Where the U.S. draws that line, however, could determine whether Chinese businesses such as smartphone manufacturers and commercial aerospace companies are left alone or devastated.

‘Cold war’ tactic

Experts and pundits saw the imposition of the tough new ban as a dramatic escalation of the Biden administration’s efforts to keep China from being able to advance toward technological parity with the U.S.

Writing for the American news publication Foreign Policy, Edward Alden, a senior fellow at the Council on Foreign Relations, said the move “looks increasingly drawn from the Cold War playbook.” He also noted that “the new restrictions, which will be fully implemented as soon as Oct. 21, go well beyond any previous measures by seeking to freeze China at a backward state of semiconductor development and cut Chinese companies off from U.S. industry expertise.”

In the Financial Times, U.S. national editor and columnist Edward Luce wrote that “Joe Biden this month launched a full-blown economic war on China.”

“His escalation … marks a final break with decades of U.S. foreign policy that assumed China’s global integration would tame its rise as a great power,” he added.

China reacts

Speaking at the start of the Chinese Communist Party’s five-year congress Sunday, during which he is expected to be named to an extraordinary third term as party leader, Xi Jinping did not address the ban directly. However, he did promise to step up investment in areas that would help his country achieve “technology self-reliance.”

“China will move faster to launch a number of major national projects that are of strategic, big-picture and long-term importance,” Xi said.

In a statement provided to VOA by the Chinese embassy in the U.S., spokesperson Liu Pengyu said that he was not aware of any specific meetings being held in China.

“I would like to note that what the U.S. is doing is purely ‘sci-tech hegemony.’ It seeks to use its technological prowess as an advantage to hobble and suppress the development of emerging markets and developing countries,” Liu said. “The U.S. probably hopes that China and the rest of the developing world will forever stay at the lower end of the industrial chain. This will disrupt the global supply chain and industrial chain, and the final result will hurt itself and others alike.”

Industry concerned

Semiconductor companies have reacted carefully to the Biden administration’s decision. Although they are acknowledging the government’s concerns, they are signaling frustration that they were neither given clear guidance about how the ban will be applied nor given an opportunity to consult with the Commerce Department before it was put into place.

In a statement provided to VOA, SEMI, a trade group representing the semiconductor industry, said that its members understand the United States’ national security concerns. In addition, it said, “We are currently evaluating the potential effects of the Commerce Department’s unilateral controls on the semiconductor industry in the U.S. and abroad. We plan to provide feedback to the government on these rules, as they were not previously published for public comment.”

“We believe it is vitally important that the U.S. government implements these rules in close collaboration with and input from our key international partners in order to limit unintended adverse consequences that could reverberate through the domestic supply chain of this critical industry.”
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 A decade-old publicity stunt continues shaping modern life. Plus, satellite TV gets a serious upgrade, and the Webb telescope gives us another stunning image. VOA’s Arash Arabasadi brings us The Week in Space.
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The World Health Organization warns physical inactivity can lead to the development of debilitating noncommunicable diseases and millions of premature deaths.

Data from 194 countries show governments are not doing enough to encourage their populations to engage in physical activity, including creating the opportunities for people to be more active and move around freely.

For example, the World Health Organization reports too few countries encourage active and sustainable transport. It notes just over 40% of countries have road design standards that make walking and cycling safer.

Fiona Bull, head of WHO’s physical activity unit within the Department of Health Promotion, said this neglect results in staggering economic, physical, and mental costs.

“Our estimates indicate that $27 billion a year or up to 2030, $300 billion dollars (in costs) could be averted if we increased physical activity,” she said. “It estimated that 500 million new cases of key important NCDs (noncommunicable diseases) and mental health conditions could be prevented by increasing physical activity.”

The report says nearly 500 million people will develop heart disease, obesity, diabetes or other noncommunicable diseases by 2030 due to inactivity.

Latest global estimates show 1.4 billion adults do not do enough physical activity to improve and protect their health. In 2016, it said, levels of inactivity among adults in high-income countries were double those in low-income countries.

The report finds women in most countries are less active than men, particularly in the eastern Mediterranean region and in the Americas. Juana Willumsen, technical officer in WHO’s physical activity unit, attributed this difference to lack of opportunities for women to engage in physical activity.

“Often women are finding it harder to access opportunities, finding it harder to find time to be physically active and to incorporate that within their day,” she said. “As well as many cultural barriers to physical activity. There are some cultures in which it is not currently seen as acceptable or appropriate for women to be active.”

The World Health Organization recommends adults engage in at least 150 minutes a week of moderate physical activity. For children, it recommends 60 minutes of physical activity every day.

The good news is people do not have to run a marathon or participate in the Tour de France to stay healthy. WHO officials said all sorts of physical activity such as climbing stairs, walking, playing with the children, and doing household chores, are beneficial for health.

What is important, they said, is to keep moving.
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Canberra scientists are researching a mysterious new recreational drug not seen before in Australia. The Australian National University says the substance is a “close cousin” of ketamine, a controlled anesthetic used by doctors and veterinarians.

The new substance is known as “CanKet” — a Canberra ketamine. It was discovered at Australia’s first government-supported pill-testing center that started as a trial in the national capital earlier this year.

The research team says the new drug was handed in at Australia’s first pill-checking center in Canberra. The user thought it was ketamine but said its effects were unusual and wanted it checked by experts at the pill-monitoring service. The drug was presented in a “small plastic bag of crystals and powder.”

Australian National University scientists believe the new drug was probably imported from overseas. It is not known whether CanKet has side effects. It is chemically similar to ketamine but has characteristics that have not been seen previously.

Associate professor Malcolm McLeod of the Australian National University Research School of Chemistry told VOA that ketamine and its derivatives are becoming increasingly popular illicit drugs.

Ketamine is used in medicine and as a horse tranquilizer. It is also a popular recreational drug linked to a phenomenon known as the “k-hole” — a type of out-of-body experience. Common side effects include nightmares, hallucinations, high blood pressure and confusion.

It is typically injected, snorted, or taken orally.

In 2019, an estimated 9 million Australians — or more than 40% of the population aged over 14 — had illicitly used a drug, according to the National Drug Strategy Household Survey. The survey is a government-funded project that has been collecting data about alcohol, tobacco and drug consumption in Australia every two to three years since 1985.

The most popular illicit drugs were cannabis and cocaine. The survey showed that ketamine use rose from 0.4% of respondents in 2016 to 0.9% in 2019.
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