The United States to finish pollen for poor countries, but continue some aid in HIV and tuberculosis

The Trump administration intends to end the financial support of the United States for Gavi, the organization that helped buy cash vaccines for children in developing countries, provide millions of lives over the past quarter, and significantly expand support for the efforts of Malaria, one of the largest killers in the world.

The administration decided to continue some of the main grants for drugs to treat HIV and tuberculosis, and food aid to countries facing civil wars and natural disasters.

These decisions are included in a 281 -page subscriber. The United States Agency for International Development was sent to Congress on Monday night, with external aid projects planning to continue and end. The New York Times has obtained a copy of the spreadsheet and other documents describing the plans.

Documents provide a comprehensive overview of the unusual scale of the administration’s decline from a long -term voltage to introduce the United States to the developing world as sympathetic ally and the leadership to combat infectious diseases that kill millions of people annually.

Details of the cover letter remains the remains of the US Agency for International Development after the discounts, with the elimination of most of its financing, and only 869 employees are still from more than 6000 employees in active service.

In all, the administration decided to continue 898 the American Agency for International Development and end 5,341, says the letter. He – she He says that the remaining programs are worth 78 billion dollars. But only $ 8.3 billion of this is not available money – the money is still available to spend. Since this amount covers the prizes that last for several years in the future, the number indicates a huge decrease in $ 40 billion that the US Agency for International Development for spending annually.

A spokesman for the Ministry of Foreign Affairs, which now runs the remainder of the United States Agency for International Development, confirmed that the ends in the list were accurate and said, “Every prize that has been terminated individually was reviewed to comply with the agency’s priorities and administration, and the ends were implemented as Minister Rubio determined that the award is inconsistent with the priorities of the national interest or the agency’s policy.”

Congress Memorandum offers an external aid plan as a unilateral decision. However, since spending on individual health programs such as HIV or vaccination is allocated to Congress, it is not clear that the administration has a legal authority to end these programs. This case is currently being lit at multiple challenges for the court.

Among the programs that have been completed is the funding of the United Nations Food and Agriculture Organization, which is monitoring diseases that can be transmitted from animals to humans, including bird flu, in 49 countries. Some of the main programs for tracking and fighting malaria, one of the best killers in the world for children, has ended.

“He was shocked and beaten” by the decision to end US funding and warned that the repercussions will feel all over the world.

“This is not just a bureaucratic decision, there is children’s life at stake, and global health security will be at stake,” he said. “Javi’s support in Sierra Leone is not just an issue in Sierra Leone, but rather something that the region benefits from, the world.”

In addition to trying to reach all children with routine vaccinations, Sierra Leone is currently fighting MPOX, which Gavi has provided both vaccines and cash support to connect them.

“We hope that the United States government will continue to be the global leader always – putting money in Jafi is not a tunnel, it is an investment,” said Dr. Dembei.

It is estimated that Javi has saved the lives of 19 million children since it was created 25 years ago. The United States contributes 13 percent of its budget.

The value of the grant, which ended in Javi, was $ 2.6 billion until 2030. Javi was based on a pledge presented by President Joseph R. Biden Junior last year for the next financing course.

New vaccines with a promise to save millions of lives in low -income countries, such as one To protect children from severe malaria And another To protect teenage girls from the virus that causes cervical cancerIt was recently available, and Gavi has expanded the support portfolio that it could provide to those countries.

The loss of American funds will restore the organization’s ability to continue its basic range of services – such as measles and polio -increasing – to an increasing number of children in the poorest countries, not to mention the expansion of new vaccines.

According to Gavi’s special estimate, American support may mean that 75 million children are not receiving routine vaccines in the next five years, with more than 1.2 million children died as a result.

The United States has been among the best donors since its inception, and has become the largest during the Covid-19 pandemic. While European countries have historically provided significant funding, many of them are now reduce spending on foreign aid as they wrestle with change in US policy on Ukraine and demand the United States to increase their defensive spending. Japan, another large donor from Gavi, struggles with a decrease currency.

Dr. Sania Nishtar, CEO of Ghafi, said she hopes that the Trump administration will reconsider the decision to end its support. She said that Javi’s work keeps people everywhere, including Americans, safe. In addition to protecting individual children, vaccination reduces the possibility of outbreaks. The organization maintains global vaccine stocks against diseases such as Ebola and cholera, and spread it in the rapid response efforts of the epidemic.

A dry structure of countries requires paying part of the cost of vaccines, with an increase in their share with high income levels; The medium -income countries break the support.

The memorandum says that 869 US Agency for International Development employees were working from last Friday, while 3,848 were on administrative leave and 1602 in the process of layoffs. Among the 300 employees under the premature dismissal, 270 returned to work after an order from the court prohibiting their dismissal.