Trump’s freezing on external aid will increase diseases
S.On his first day in office, President Trump ordered embodiment 90 days of spending freezing Almost all US foreign aids, at first, are only exceptions to military financing for Egypt and Israel and emergency food aid. The “stopping order” in the guidance had severe consequences for people’s health and well -being.
HIV clinics all over the world with funding from the US President’s Emergency Emergency Plan, which is a very successful help program launched by George W. Bush who has Save More than 25 million people, had to cancel the appointments and Detox for patients. Two-thirds of the initiative of President Malaria-the world’s largest financier for Malaria control programs, which was founded by George W. Bush-also-was also- Firing. Humanitarian aid programs in Gaza, Sudan and Syria were providing services such as clean water and cholera to stop. Oxygen supplies no longer reach health facilities in some low -income countries.
Funds are frozen for critical diseases control programs that prevent and treat a group of deadly infectious diseases, including malaria, Marburg virus, MPOX and TB. In Zambia, the distribution of medical supplies to save life to treat diarrhea in childhood and bleeding in pregnant women came Stop. In one hospital funded by the United States at the MAE LA refugee camp on the Thai-Meyanmar border, 60 patients were sent to the house. “It seems that an easy decision by the American president quietly kills many lives,” one of these patients, who suffer from tuberculosis, He said New York Times. He was sent to the house with medicines supplies for only one week and does not have another way to get treatment when the offer is running out.
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Last week, sad reports led that people deprived of HIV and Foreign Minister Marco Rubio, who oversees American aid, problem A temporary concession in emergency situations – at least, at least – to help us to pay the costs of antivirals, the opposite HIV. But there was a great deal of uncertainty about what covered this concession. Collers in low and medium -income countries who provide HIV services that Pepvar are directed to stop working and that the language of relinquishing Minister Rubio was very mysterious so that it has no meaningful effect. Facing pressure to clarify confusion, on February 1, 2025, the Ministry of Foreign Affairs issued a note Saying that the waiver covers HIV therapy as well as services to prevent the transmission of HIV from mother to children – but not other types of preventive services.
While these exemptions are welcome, they are narrow in the range and temporary, and do not do enough to overcome confusion, disruption and paralysis in the United States health programs around the world.
It is true that many low and medium -income countries are working to increase their local health spending so that they become less dependent on aid, and that donors for aid, including the United States, have indicated their support for such a transition from aid. Pepfar, for example, in its last 5 years StrategyHe is committed to helping countries to mobilize local financing, increase the ownership of the country and manage their national HIV. But the keyword here is “gradually”. Sudden shocks, such as overnight aid, do not accelerate the transition; It explodes it and can cause the disease to return.
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There is now a fortune from Research evidence and The real world experience On the best destinations from low and medium -sized countries, they can move from help and financing their own pathogens in a cautious, safe, well -planned and unconventional way. This process usually takes about a decade or more, as the two countries spend during an increasing amount of their local resources on these programs, on an annual basis, so that they do not face a sudden slope when the donor comes out.
The management of donor exits is well important in order to maintain the wonderful gains achieved by the two countries, with the support of the donors with aid, in controlling fatal infectious diseases over the past few decades. These gains are fragile. In places where there is a continuous transmission of infectious disease, diseases control programs must be maintained and never stopped. The reason why the transition is done slowly and carefully is that countries need enough time to get their own health delivery systems and their money is strong enough to take over these programs completely. Sudden, chaotic withdrawal of aid is the worst type of interruption – that places life at stake.
To find out what happens when the donors withdraw their support greatly, we just need to look at what happened in Romania when two donors came out simultaneously. In 2010, the World Fund for AIDS, Tuberculosis and Malaria – the world’s largest multi -party donor donor – left for HIV – from Romania, with no plan for the Romanian government to finance or take over HIV prevention services. Romania was the alleged “first wave” state; In the group of countries that lost support for the first time from the World Fund. As we noticed in Ticket On the transitions of donors from HIV services, the withdrawal of the global fund from Romania has left a “big gap in financing the prevention of HIV prevention that was not covered by the government.” The exit of the World Fund has doubled through the simultaneous withdrawal of financing from the United Nations Office on Drugs and Crime, a donor who had previously supported the efforts to prevent HIV between people who injected drugs, such as needle exchange and injection programs.
The dual blow from two donors pulled their catastrophic assistance. Prevention and HIV prevention services in Romania for the weak population – sex workers, men who have sex with men, and people who pump drugs – start, and the spread of HIV quickly. For example, among people who injected drugs, HIV has increased from 1.1 % in 2009 to 6.9 % after three years; By 2013, 53 % of these population was HIV.
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We can also search to find out what is happening when the financing of malaria anti -malaria stops in places where there is still a continuous transmission. in Ticket We were published in 2012, we looked back throughout history to determine all episodes of Malaria’s return. We have found 75 events in the emergence of 61 countries that occurred from the 1930s until the first decade of the twentieth century. The most important result in our study was that almost all the recovery events – 68 out of 75 – were due to the weakening of the malaria control program. The most common cause of this weakness was to disrupt financing.
The message is clear. Trump’s sudden disorder for financing diseases control programs around the world will mobilize chaos. When people stop taking HIV medications, they only get sick; The viral load of HIV also rises, which can push the transmission of the disease. New York Times Reports In Uganda, relief workers estimate that “40 newborns contracted in HIV daily when the United States stopped financing anti -virus drugs.” The interruption of sudden treatment can also cause a high drug -resistant HIV. If the patient developed a resistance strain, they will not be able to return to the same HIV medications as before. They will need different and more expensive medications.
Do not make mistakes: The freezing of American health aid is the opposite of an accurate and accurate transmission of aid. It exposes people to the risk of disease and death and risk diseases that are out of control.