Good morning. You're reading the Up First newsletter. Subscribe here to get it delivered to your inbox, and listen to the Up First podcast for all the news you need to start your day.
Today's top stories
There has been a dramatic spike in the number of fentanyl-laced counterfeit prescription pills seized by law enforcement, according to a new study published in the International Journal of Drug Policy. The study found that the number of pills seized last year was roughly 2,300 times greater than in 2017. The counterfeit pills look like legit prescription opioid medications — but are often far deadlier. The report highlights the rising threat of cheap and highly potent counterfeit pills, particularly in western states.
Israel has expanded its attacks to central and northern areas of the Gaza Strip. It says it's trying to prevent Hamas from regrouping there. The attacks are happening as all eyes are on Rafah, where Israel rolled in tanks last week despite pressure from the U.S. and U.N. to halt a planned major ground assault.
Richard "Rick" Slayman, the first human to receive a genetically modified pig kidney transplant, has died nearly two months after the procedure. Massachusetts General Hospital said in a statement that there was "no indication" his death was the result of the transplant. Slayman's surgery was a milestone in the field of xenotransplantation, which involves transplanting organs from one species to another. More than 100,000 people in the U.S. are on the waitlist for organs. Thousands die every year before they can get one.
Picture show

The largest geomagnetic storm in nearly two decades hit the Earth last week. A sunspot sent a stream of charged particles toward the planet's atmosphere, resulting in the beautiful aurora seen in different parts of the world. It's been keeping satellite and power grid operators busy as they work to prevent disruptions. The last time a similar event occurred in 2003, it knocked out power in some parts of Sweden.
See photos of the Northern lights spotted across the Earth, from Ukraine to Minnesota. If you missed them, you might still be able to see them this week.
Today's listen

In March, a coalition of gangs in Haiti toppled the country's Prime Minister, burning down police stations and shutting down ports and the airport in the process. They now control most of the capital city of Port-au-Prince. Jimmy Cherizier — known as Barbeque — is the gang leader who convinced a bunch of gangs in Haiti to stop fighting each other and start fighting the government. He used to be a police officer who led operations against these gangs. He tells NPR's Eyder Peralta that the system made him who he is.
Listen to Barbeque talk about how politicians in Haiti created these gangs, how they use the police to do their "dirty work," and whether he thinks he will survive the Kenyan-led international security force meant to counter gang violence. You can read more about Barbeque here.
3 things to know before you go

This newsletter was edited by Majd Al-Waheidi. Anandita Bhalerao contributed.
Copyright 2024 NPR. To see more, visit https://www.npr.org.