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Sierra Leone has declared a national emergency after increased cases of substance abuse. President Julius Maada Bio’s decree Thursday follows an explosive rise in the use of a synthetic drug known as Kush.

The drug which is highly addictive is a mix of marijuana, tentanyl and tramadol, a powerful pain killer. Kush has been blamed for causing hundreds of deaths and making scores of users mentally sick.

It first appeared in the west African country around four years ago. The drug is also widely used in neighboring Liberia.

President Bio said a taskforce would be set up to implement a multi-pronged strategy to combat drug and substance abuse.