{"id":4143,"date":"2025-02-05T21:35:59","date_gmt":"2025-02-05T21:35:59","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/trumps-foreign-aid-freeze-leaves-millions-without-hiv-treatment\/"},"modified":"2025-02-05T21:35:59","modified_gmt":"2025-02-05T21:35:59","slug":"trumps-foreign-aid-freeze-leaves-millions-without-hiv-treatment","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/trumps-foreign-aid-freeze-leaves-millions-without-hiv-treatment\/","title":{"rendered":"Trump\u2019s Foreign Aid Freeze Leaves Millions Without HIV Treatment"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Two weeks into President Trump\u2019s sweeping freeze on foreign aid, H.I.V. groups abroad have not received any funding, jeopardizing the health of more than 20 million people, including 500,000 children. Subsequent waivers from the State Department have clarified that the work can continue, but the funds and legal paperwork to do so are still missing.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">With the <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2025\/02\/04\/us\/usaid-musk-trump-rubio-cuts.html\" title=\"\">near closure of the American aid agency<\/a> known as U.S.A.I.D. and its recall of officers posted abroad, there is little hope that the situation will resolve quickly, experts warned.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">H.I.V. treatment and services were funded through the President\u2019s Emergency Plan for AIDS Relief, or PEPFAR, a $7.5 billion program that was frozen along with all foreign aid on Mr. Trump\u2019s first day in office.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Since its start in 2003 during the George W. Bush administration, PEPFAR has delivered lifesaving treatment to as many as 25 million people in 54 countries and had enjoyed bipartisan support. The program was due for a five-year reauthorization in 2023; it survived an effort by some House Republicans to end it and was renewed for one year.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Without treatment, millions of people with H.I.V. would be at risk of severe illness and <a class=\"css-yywogo\" href=\"https:\/\/pepfarimpact.vercel.app\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">premature death<\/a>. The loss of treatment also threatens to reverse the dramatic progress made against H.I.V. in recent years and could spur the emergence of drug-resistant strains of H.I.V.; both outcomes could have a global impact, including in the United States.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The pause on aid and the stripping down of U.S.A.I.D. have delivered a \u201csystem shock,\u201d said Christine Stegling, a deputy executive director at UNAIDS, the United Nations\u2019 H.I.V. division.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cNow you need to see how you can work with the system as it is, to make sure that what is theoretically possible will actually happen,\u201d she said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">On Jan. 28, Secretary of State Marco Rubio issued a waiver for lifesaving medicines and medical services, ostensibly allowing for the distribution of H.I.V. medicines. But the waiver did not name PEPFAR, leaving recipient organizations awaiting clarity.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">On Sunday, another State Department waiver said more explicitly that it would cover H.I.V. testing and treatment as well as prevention and treatment of opportunistic infections such as tuberculosis, according to a memo viewed by The New York Times. The memo did not include H.I.V. prevention \u2014 except for pregnant and breastfeeding women \u2014 or support for orphaned and vulnerable children.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Although PEPFAR is funded by the State Department, roughly two-thirds of its grants are implemented through U.S.A.I.D. and the Centers for Disease Control and Prevention. Neither organization has released funds to grantees since the freeze was initiated.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In <a class=\"css-yywogo\" href=\"https:\/\/www.washingtonpost.com\/politics\/2025\/02\/04\/trump-presidency-news\/#link-NZ7LYKZLTFBQVIQRWAOZHTZDL4\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">an interview<\/a> with The Washington Post, Mr. Rubio appeared to blame the recipient organizations for not acting on the waiver, saying he had \u201creal questions about the competence\u201d of the groups. \u201cI wonder whether they\u2019re deliberately sabotaging it for purposes of making a political point,\u201d he said.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">But experts familiar with PEPFAR\u2019s requirements said his comments belied the complexity of its system of approvals.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThe messaging and guidance from the State Department expose an ignorance of how these programs function \u2014 and an alarming lack of compassion for the millions of lives at risk,\u201d said Jirair Ratevosian, who served as chief of staff for PEPFAR in the Biden administration.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-4\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">For instance, the stop-work orders compelled each program to cease immediately. The organizations are now legally required to wait for equally explicit instructions and cannot proceed on the basis of a general memo, according to a senior official at a large global health organization that receives PEPFAR funds.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cWe have to wait till we get individual letters on each project that tell us not only we can start work, but tell us which work we can start up and with how much money,\u201d the official said. The official asked not to be named for fear of retaliation; 90 percent of the organization\u2019s money comes from PEPFAR.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The freeze is also disrupting the network of smaller organizations that deliver H.I.V. treatment and services in low-income nations.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In a survey of 275 organizations in 11 sub-Saharan countries conducted over the past week, all reported that their programs or services had shut down or were turning people away, said Dr. Stellah Bosire, executive director of the Africa Center for Health Systems and Gender Justice.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">At least 70 organizations reported disruptions in H.I.V. prevention, testing and treatment services, and 41 said that some programs had closed. \u201cWithout immediate intervention, these funding suspensions could lead to devastating reversals in public health progress,\u201d Dr. Bosire said in an email.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-5\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">In Kenya, 40,000 doctors, nurses and other health workers have been affected by the freeze, according to Mackenzie Knowles-Coursin, who was deputy chief of communications at the American mission in Nairobi until Monday. In South Africa, the halt in funding will affect the salaries of more than 15,000 health workers and operations across the country, the nation\u2019s health minister, Aaron Motsoaledi, said during a televised news conference last week.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some organizations rely on a patchwork of grants, with a stream of funding from one donor applied to purchasing medications and another stream applied to paying staff. Interruption of even one source can hobble the clinics, leaving them without medications to dispense or workers to dispense them.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The Uganda Key Populations Consortium, an umbrella organization that provides H.I.V. treatment and other services, has lost 70 percent of its funding. It has shuttered 30 of the 54 drop-in centers around the country that dispense medications, and it terminated the contracts of 28 of its 35 staff members.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The organization received about $200,000 per year from the C.D.C. via the Infectious Diseases Institute at Makerere University, as well as an $8 million grant over five years from U.S.A.I.D. The latter provided housing and employment assistance, including to gay and transgender people, and has been shut down to comply with Mr. Trump\u2019s executive order on diversity, equity, inclusion and accessibility.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In 2023, Uganda <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/01\/19\/health\/uganda-lgbtq-hiv.html\" title=\"\">enacted a sweeping law<\/a> that criminalized consensual sex between same-sex adults and made same-sex relations while having H.I.V. <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2023\/08\/29\/world\/africa\/uganda-anti-lgbtq-law-charges.html\" title=\"\">punishable by death<\/a>. It has caused scores of Ugandans to be evicted from homes and fired from jobs.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-6\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cCases of human rights violations haven\u2019t really slowed, and now it\u2019s really concerning,\u201d said Richard Lusimbo, director general of the Uganda Key Populations Consortium.<\/p>\n<div data-testid=\"imageblock-wrapper\">\n<figure class=\"img-sz-small css-1189og3 e1g7ppur0\" aria-label=\"media\" role=\"group\"><figcaption data-testid=\"photoviewer-children-caption\" class=\"css-13ytnnu ewdxa0s0\"><span class=\"css-jevhma e13ogyst0\">Richard Lusimbo in Kampala, Uganda, last year observing a hearing in Uganda\u2019s constitutional court in which it upheld an anti-L.G.B.T.Q. law.<\/span><span class=\"css-14fe1uy e1z0qqy90\"><span class=\"css-1ly73wi e1tej78p0\">Credit&#8230;<\/span><span><span aria-hidden=\"false\">Abubaker Lubowa\/Reuters<\/span><\/span><\/span><\/figcaption><\/figure>\n<\/div>\n<p class=\"css-at9mc1 evys1bk0\">\u201cWe don\u2019t even have the capacity or even the tools that we need to actually respond to some of these issues,\u201d he said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some organizations dispense medicines to children, which requires more skill than treating adults. Children\u2019s medications are tailored to their age, weight and prior exposure to antiretroviral drugs, and the children must be carefully monitored for drug resistance.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In children who acquired H.I.V. at birth, the infection can progress very quickly to illness, with death occurring as early as eight to 12 weeks after birth \u2014 shorter than the 90-day pause on foreign aid.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-7\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">On Tuesday night, the Trump administration put nearly all of U.S.A.I.D.\u2019s global work force on leave and recalled those posted abroad to return to the United States within 30 days.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThere\u2019s a loss of institutional memory, which may be purposeful, but it\u2019s also creating just a backlog of paperwork, and it\u2019s paralyzing the whole system,\u201d said Elisha Dunn-Georgiou, the president of Global Health Council, a membership organization of health groups.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cWho do you ask questions to?\u201d she said. \u201cHow do you move to the next step?\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Without U.S.A.I.D. staff to process waiver applications, organizations fear they will not see funds anytime soon. Even large global health organizations are struggling to stay afloat; some have already cut programs and staff.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Even if the funds return quickly, it may not be easy to restart programs and return to something resembling normalcy, Ms. Dunn-Georgiou said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cIt costs a lot to restart something, so I don\u2019t think we really know yet if that\u2019s even possible,\u201d she said.<\/p>\n<p class=\"css-798hid etfikam0\">Lynsey Chutel<!-- --> and <!-- -->Stephanie Nolen<!-- --> contributed reporting.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     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the<\/p>\n","protected":false},"author":1,"featured_media":4144,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[984,634,622,407,1353,146,97,713,447,224,168,983,109,636,188],"class_list":["post-4143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science","tag-africa","tag-centers-for-disease-control-and-prevention","tag-disease-rates","tag-foreign-aid","tag-homosexuality-and-bisexuality","tag-human-rights-and-human-rights-violations","tag-humanitarian-aid","tag-presidents-emergency-plan-for-aids-relief","tag-south-africa","tag-uganda","tag-united-states","tag-united-states-agency-for-international-development","tag-united-states-international-relations","tag-your-feed-health","tag-your-feed-science"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trump\u2019s Foreign Aid Freeze Leaves Millions Without HIV Treatment - World News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/site.itshrt.com\/worldnews\/trumps-foreign-aid-freeze-leaves-millions-without-hiv-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trump\u2019s Foreign Aid Freeze Leaves Millions Without HIV Treatment - World News\" \/>\n<meta property=\"og:description\" content=\"Two weeks into President Trump\u2019s sweeping freeze on foreign aid, H.I.V. groups abroad have not received any funding, jeopardizing the\" \/>\n<meta property=\"og:url\" content=\"https:\/\/site.itshrt.com\/worldnews\/trumps-foreign-aid-freeze-leaves-millions-without-hiv-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"World News\" \/>\n<meta property=\"article:published_time\" 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