Drug exchange, by sea. There is a wide-spread black market for Tramadol. The drug reaches Gaza by both land (tunnels) and sea. © Antonio Faccilongo
Musah. The only dog of the anti-drug department present in the Gaza Strip. The other dogs were killed during the last war. Every year, 1.8 million tablets of tramadol are confiscated by Hamas. Gaza City, Palestine. © Antonio Faccilongo
Way out. Tramadol pills and a handgun owned by a drug dealer. Gaza City, Palestine. © Antonio Faccilongo
Recently, at the border with Egypt, the Palestinian anti-drug unit seized more than 150kg of hashish and marijuana, half a kilo of cocaine, 20,000 ecstasy pills and 1,700,000 Tramadol pills, both original and counterfeit.
J.J is a drug dealer. J can earn up to $3,000 per month from his activities, which helps him feed his family of 18 members. One cause for the spread of Tramadol is unemployment, which has reached 60% of the adult population. Drug users take Tramadol to deal with their stress, while drug dealers take advantage of the situation to make a living in the difficult situation. Gaza City, Palestine. © Antonio Faccilongo
Tablet. A drug addict. One of the main risks of tramadol is addiction, especially when it is taken at levels not medically recommended. The user experience difficult withdrawal syndrome when trying to quit using it. Gaza City, Palestine. © Antonio Faccilongo
50% of the population between 18 and 60 years of age use this opiate. The number of users rises to 80% in the areas most affected by the bombings. © Antonio Faccilongo
This is my home. Murad lived in his destroyed home in Shejaiya. 80% of Shejaiya's population regularly takes Tramadol. Shejaiya, Palestine © Antonio Faccilongo
Addicts take this drug to withstand the pressure of daily life and to feel more alive and happy. These pressures have only increased during recent conflicts. Still, long-term use of the drug can cause depression, anxiety and obsessive-compulsive disorder, with much more severe consequences during withdrawal.
Refugee eyes. Mohammed lives in a refugee camp near Khan Younis, one of the most bombed out areas of the country. Common side effects include dizziness, constipation and nervousness. More extreme side effects include seizures, hallucinations, heart attack and thoughts of suicide. Khan Younis, Palestine. © Antonio Faccilongo
Consequence. This is the body of a dead person whose heart attack could be related to the use of Tramadol. Gaza City, Palestine. © Antonio Faccilongo
Football match. Tramadol is mainly consumed at home and away from the eyes of others. There are only two exceptions: wedding parties and football matches.
Football match. Tramadol is mainly consumed at home and away from the eyes of others. There are only two exceptions: wedding parties and football matches. Gaza City, Palestine © Antonio Faccilongo
Street. A seller of Tramadol during an exchange in the street. Gaza City, Palestine. © Antonio Faccilongo
Unfortunately, there is no viable end in sight for the Gaza occupation, and thus it is likely that Tramadol use will continue. © Antonio Faccilongo