4 million deaths, 10 million cases anticipated: Trump administration has dismantled decades of progress in reducing AIDS infections and deaths

Credit: UNICEF Ethiopia
Credit: UNICEF Ethiopia

On his first day in office, US President Donald Trump ordered a 90-day pause on foreign aid.

He went on to slash $US4 billion ($6 billion) the US had pledged for the global HIV response for 2025, and, in July, his administration closed down the US Agency for International Development (USAID), the world’s largest humanitarian aid agency.

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This week, a new report by the United Nations AIDS agency (UNAIDS) said the withdrawal of that aid had caused a “systemic shock” and warned that if the funding wasn’t replaced, it could lead to more than 4 million AIDS-related deaths and 6 million new HIV infections by 2029.

USAID — a six-decade-old humanitarian and development organisation that officially closed down at the beginning of July — was responsible for implementing the bulk of the assistance under the US president’s Emergency Plan for AIDS Relief (PEPFAR), the world’s leading HIV/AIDS initiative.

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