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A stark, confronting window into the global cocaine trade

© Mads Nissen

Sangre Blanca — Mads Nissen’s new book is a close-up look at various stages of the drug’s journey, from production to consumption, and the violence that follows wherever it goes.

On the morning of November 27, 1989, a Boeing 727 plane took off from Bogotá international airport at 7:13am. Five minutes later, it exploded, when a bomb organised by infamous narcotrafficker Pablo Escobar detonated, splitting the plane in two. All 107 people on the flight – passengers, pilots and crew – were killed, while three more died on the ground.

It was an assassination attempt on politician and presidential candidate César Gaviria, who had cancelled taking the flight at the last second. But it was also an act of terror, and a public show of the power that Escobar and the cartels held over the country. While Gaviria survived, and later became the President of Colombia, one person who boarded Avianca Flight 203 was the godfather of Danish photojournalist Mads Nissen’s wife.

Her mother was called to look for anything she could recognise,” Nissen says. She found his hand with a certain ring on it. So, for my family, and my wife’s family, the cocaine business is something very concrete. It’s something they suffered for.”

© Mads Nissen
© Mads Nissen
Nineteen-year-old Ariel Albeiro Muñoz, collecting coca leaves near the village of Pueblo Nuevo, Colombia, 2026
In the remote mountains of Putumayo, members of Los Comandos Jungla – an elite unit of Colombia’s anti-narcotics police – are dropped into a dense coca field. Guided by aerial surveillance from a Black Hawk helicopter, their mission is to find and burn down the hidden cocaine laboratories scattered across the jungle. But they need to act fast. The policemen are outnumbered and on unfamiliar ground. Any moment the farmers, or the well-organised militia Comandos de la Frontera (also known as CDF or La Mafia), can regroup and launch a counterattack when they see their business going up in flames, 2026

Nissen first began photographing around the subject of cocaine in 2016, after being commissioned to photograph Nobel Peace Prize winner Juan Manuel Santos – the former President of Colombia who served between 2010 and 2018, who is largely credited for bringing the country’s decades-long civil war to an end. Much of the war was funded by drug trafficking, and Nissen began diving deeper into the people who lived through the bloodshed and displacement, and the forces that continue to drive it.

His new monograph, Sangre Blanca, which translates to White Blood’, is the culmination of nearly a decade’s worth of reportage made between 2016 and 2025. It traces the world-spanning journey that cocaine takes, from the harvesting of the coca plant on rural farms, its production in labs hidden deep in the Colombian Amazon, through its transport across Mexican villages and across borders, and ending eventually with hedonistic European nightlife that fuels it. And following its path everywhere is a trail of violence.

Colombia has the longest civil war probably anywhere in the world by now, and despite the peace process, it’s still going on. And many people have died in Mexico also,” Nissen says. But as an eyewitness, it’s extremely violent. Wherever there’s coca, there’s always conflict – where they produce it, there’s always an armed group taking control and they do whatever they feel they need to maintain order. Then as it moves to the cities it becomes worse.”

© Mads Nissen
© Mads Nissen
© Mads Nissen
© Mads Nissen
Top to bottom: 12-year-old Alexandra Mazo walks down the mountain with her cellphone in hand after finishing her school day in Pueblo Nuevo, a village in Antioquia, Colombia, surrounded by vast coca plantations and armed groups, 2026. | Diney Alexandra lies on the floor, taking a nap out of boredom at her father’s laboratory as the processing continues around her. It takes roughly 700 kilos of coca leaves along with substances such as cement, ammonium, sulfuric acid, sodium permanganate, caustic soda, and large quantities of gasoline – to produce just a single kilo of coca paste. The aim of the entire process is to extract and isolate the leaf’s most desired and valuable component: the cocaine alkaloid. Antioquia and Cauca, Colombia, 2026. | Surrounded by friends, family, and the entire community, Gerson Acosta is carried to his final resting place. At just 35-years-old, Acosta was already a governor and a respected Indigenous leader, known for his courage in standing up to armed groups attempting to take control of the Kite Kiwe ancestral territory. His defiance came at a high cost – he had received multiple death threats from a local paramilitary faction, a successor group of the far-right, drug-trafficking organisation AUC. On the afternoon of 19 April 2017, he was shot at close range outside his home. As the bullets were fired, Gerson managed to tell his 12-year-old son Daybi to run and escape. Timbío, Cauca, Colombia, 2026.

Despite it being over half a century since President Nixon declared the war on drugs”, cocaine use has never been more prevalent. According to a United Nations Report released last year, an estimated 25 million people used the drug in 2023, with production increasing by more than a third from the year before. Meanwhile, blood is spilled for the white powder. Warring between drug cartels in Mexico have seen tens of thousands of combatants and civilians killed over the past decade, while in Europe, 50% of all homicides are directly connected to drug trafficking

Ultimately, its usage is a worldwide phenomenon. What we’re trying to do is not blame Colombia for producing cocaine, as it has been in the past,” Nissen explains. That’s really been the perspective of Europe and the United States. What we’re instead trying to do is show that the business is way bigger than before, and it’s not interesting to blame a poor Colombian farmer – I think it’s much more interesting to look at the responsibility for consumers in the West, who have more of a choice.”

The stigmatisation and blanket criminalisation of the drug, led largely by the policies of developed countries in the global north, has reinforced the inequalities and black market economies that keep supply flowing. Despite billions of dollars spent trying to fight it, cocaine is bigger business than ever.

© Mads Nissen
© Mads Nissen
© Mads Nissen
© Mads Nissen
© Mads Nissen
© Mads Nissen
© Mads Nissen
25-year-old Jesús Bautista lost one leg and the sight in his left eye when he stepped on a landmine while fighting for the Colombian Army against a drug cartel in the Catatumbo-region, 2026
It’s a high-value target, but time is running out. Major Herrera and his police unit have only fifteen minutes to attack, secure, collect evidence, and set up explosives at this rare second-phase cocaine laboratory, capable of producing up to 500 kilos in just a week. The officers fear a counterattack or mass mobilisation of locals could occur at any moment. Despite being well-trained and heavily armed, the police force can easily be outnumbered, or caught by surprise if the ELN guerrilla launch an assault from the dense jungle, 2026
31-year-old Adriana Itzel Rangel Arrilaga, 2026
At the overcrowded detention centre inside the Kennedy Police Station in Bogotá, Colombia, a majority of the detainees are held for involvement in small-scale drug dealing, turf wars, or street robberies committed to support their own addiction, 2026
Nine-year-old Didiller Angulo, hangs on a bastketball hoop in Potrero Grande. Potrero Grande, a neighbourhood on the outskirts of Cali, lies beside the Cauca River – a key corridor for cocaine smuggling. It was likely this strategic location that attracted one of Colombia’s most powerful drug traffickers, Juan Carlos Ramírez Abadía, known as ‘Chupeta’ (Lollipop), who purchased the land years ago. Following Chupeta’s arrest, his land was seized, and his former ranch along the river was transformed into housing for families displaced by the Colombian civil war. While the new homes offered shelter, the deep-rooted poverty, unemployment, and social insecurity remained. As people realised they were living atop a cocaine corridor – new ambitions and alliances began to form. Despite their differences, street gangs and cartels are closely intertwined. Gangs receive backing and drugs for retail sale, while the cartels need the foot soldiers to make the cocaine flow unhindered to its destinations.
An anonymous woman, 2026
Mojino, 2026

I think it’s naïve to think that people are going to consume less cocaine – people just love it too much, and there’s so much money in it that it corrupts almost everyone,” Nissen says. You see local police authorities all the way to the ports, and even when it arrives in Europe, it also brings a lot of corruption here – we are not any different.”

His images are stark and confronting. Sangre Blanca’s eyewitness photography is shadowed by violence. Shots of armed groups and gangs are interspersed with armed police, while grief of lost family is captured up close. But the book also incorporates much more – there’s painted portraits of politicians and narcotraffickers made using chemicals from cocaine production, x‑ray images from customs with cocaine hidden inside people’s bodies and oil paintings that illustrate the far-reaching effects of the global business.

Yet by shining a light up close on people and families affected by the trade, Sangre Blanca sheds a humanising lens on people whose lives are often dismissed as simply drug dealers or drug addicts. It’s a layered examination of the complexity and prevalence of cocaine, and ultimately, the world order and its imbalances of power. But it doesn’t attempt to offer answers. Instead, Nissen explains, those begin with hearing from the people who are affected the most by it.

© Mads Nissen
Members of the Jalisco New Generation Cartel (CJNG), 2026

It’s about time that we in the West start listening to Latin America on what to do on this topic. We need to listen to the many experts and human rights activists on the ground – so far it’s been defined by the Western world,” he says. Although there are people dying of overdoses in our countries, there’s far more people dying in the business of cocaine. There’s many more killings in the war on drugs. Health-wise, it’s not the most harmful drug, but I think the most dangerous drug of all is the cocaine business.”

Sangre Blanca by Mads Nissen will be published in May by GOST.

Isaac Muk is Huck’s digital editor. Follow him on Bluesky.

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