Health programs are closing around the world after Trump pauses side aid
Life health initiatives and medical research projects have closed around the world in response to the 90-day break of Trump administration on foreign help and stop commands.
In Uganda, the National Malaria Control Program suspended insecticide spraying in the farmhouse and stopped the shipments of mesh networks for distribution of pregnant women and young children, said Dr. Jimmy Opigo, director of the program.
Medical stock, including medicines to stop bleeding in pregnant women and rehydration salts cure for life diarrhea, cannot reach the village in Zambia, because companies carrying them are paid through the suspended project of the United States for International Development, USAID
Dozens of clinical trials in southern Asia, Africa and Latin America have been suspended. Thousands of people enrolled in studies have medicines, vaccines and medical devices in their bodies, but no longer have access to continuous treatment or researchers who have controlled their care.
In interviews, more than 20 researchers and programs have described a turnaround in health care systems worldwide around the world in development. Most agreed that they would be interviewed provided that their names were not published, fearing that the conversation with the journalist would threaten any possibility for their projects to reopen.
Many of them collapsed in tears as they described the rapid destruction of decades of work.
Programs that have froze or folded in the last six days have supported the care of the front of infectious diseases, providing treatment and preventive measures that help the blindness of millions of deaths from AIDS, tuberculosis, malaria and other diseases. They also presented a compassionate, generous picture of the United States in the countries where China has increasingly competing for influence.
State Department and USAID did not respond to commenting requests.
Now there will be no one who would take stock of millions of dollars for vital oxygen systems, purchased for programs funded by USAIDs supporting a health clinic in some of the world’s poorest countries. The shipments, which are now in transit, should reach the port in the coming days, but employees of these programs have been ordered to stop operating.
On Tuesday night, State Secretary Marco Rubio issued an exemption for freezing funds for “rescue humanitarian aid”, including what the Memorandum on the State Department called “Basic Remembering for Rescue”. However, HIV treatment programs told Shuter tuberculosis in the USAID that they cannot continue to work until they receive a written instruction that the renunciation is specially applied to them.
Also on Tuesday, federal judge blocked freezing Until February 3, but in practice, most offices and programs in the country of USAID continue to freeze in place.
They failed to get a clarification on whether and when their work could continue because they were assigned to USAIDs to the USAIDs or were discharged or were under strict instructions not to talk to anyone.
Despite the court order, thousands of people have already lost their jobs as a result of freezing. About 500 USAID employees, based in the United States, have been discharged. In countries from India to Zimbabwe, health projects were immediately discharged. The organization called the International Center for Sgg disease Research, Bangladesh, which explores the top killer of children, has released more than 1,000 employees this week.
If the renunciation announced by Mr. Rubio does not apply to their work – as is likely, because it is expected to exclude only a narrow scope of activity – many non -profit groups will not have enough funds to pay for their employees or maintain stock. Already, organizations that rely on USAID funds could not access any money, not even for the return of the costs that have already been created.
Two-thirds of the presidential initiative for malaria were released, a organization founded by former President George W. Bush, which is the largest donor of the anti-malaria program and research around the world. These employees were employees of the contract because the agency had long employed freezing for permanent positions, and included some of the oldest and most respected scientists working on the control of malaria in the world.
While disconnecting HIV treatment has encouraged the fecesThe suspension of malaria work also immediately threatens the lives, said a scientist, who has been a higher member of the staff in the presidential initiative for malaria for a decade and was discharged on Tuesday.
Malaria interventions in Africa are carefully planned about rainy seasons, whose weather is varied in the region. The houses are sprayed with insecticide, and children are treated with antimalary drugs during the time of maximum malaria.
“You could reopen the floods of financial resources tomorrow and you will still die for months because of this break,” the scientist said.
More than 50 million children received preventative drugs before the rainy season last year.
Delivery of rapid tests and drugs malaria in myjanmar, where malaria cases has increased almost ten times to 850,000 in 2023 (the latest available data) of 78,000 in 2019 was frozen. Some organizations now have no workers who would distribute supplies, even if they arrive.
In some parts of the country, More than 40 percent Cases are a type of malaria that is often deadly in children under the age of 5. , No one was brave enough to try to release the medicines they were now stuck on the Thai border.
Some 2.4 million nets against malaria beds are sitting in production plants in Asia, manufactured to fulfill the US funding order and the installation of countries across the Subsahar Africa. These contracts are now frozen, because under the speech of the USAID, which bought them, it is not allowed to talk to the manufacturer under freezing conditions. Contracts for eight million networks are now in Limb, the executive director with the manufacturer said.
The largest USAID project is called Global Health Epport Laan, with an effort to simplify the supply of stock for HIV, malaria, mothers’ health and other key areas, to make the system more effective and save money. It operates in more than 55 countries in which, in many cases, it gives most key drugs. It has now been ordered for a global web staff to stop operating, except for basic tasks, such as storage of goods in warehouses.
In Zambia, USAID supports the group distribution of public health products, using a private transportation industry to move medicines from the central supply warehouse at seven regional hubs, of which the truck, motorcycle and ship are moving to farm health centers. It is part of an extensive American support of the Health System in Zambia, one of the poorest countries in the world, and has worked over time to build a supply of supply government.
Ever since the stop command was issued last Saturday, all vehicles carrying health products have been stopped. “They effectively paralyzed Zambian public health by pulling out so abruptly,” said an advisor who worked with the program. Similar systems funded by the United States, which have now frozen, have also moved a large proportion of basic medical supplies in Mozambique, Nigeria, Malawi and Haiti.
In Eastern Africa, medical researchers who work on projects to find ways to stop the transfer of HIV developing more effective contraception found themselves in establishing explanations that will give participants in their clinical trials.
“We have women who test the vaginal rings, they already have rings in them, people who have been injected to prevent HIV – when you say” stop “, what happens to them?” said HIV researcher, who is an investigator in numerous clinical trials. “We have an ethical obligation to people who volunteer for trials.”
APOORV MANDAVILLI contribute to reporting.