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The Trump administration intends to terminate the United States\u2019 financial support for Gavi, the organization that has helped purchase critical vaccines for children in developing countries, saving millions of lives over the past quarter century, and to significantly scale back support for efforts to combat malaria, one of the biggest killers globally.<\/p>\n
The administration has decided to continue some key grants for medications to treat H.I.V. and tuberculosis, and food aid to countries facing civil wars and natural disasters.<\/p>\n
Those decisions are included in a 281-page spreadsheet that the United States Agency for International Development sent to Congress Monday night, listing the foreign aid projects it plans to continue and to terminate. The New York Times obtained a copy of the spreadsheet and other documents describing the plans.<\/p>\n
The documents provide a sweeping overview of the extraordinary scale of the administration\u2019s retreat from a half-century-long effort to present the United States to the developing world as a compassionate ally and to lead the fight against infectious diseases that kill millions of people annually.<\/p>\n<\/div>\n<\/div>\n
The cover letter details the skeletal remains of U.S.A.I.D. after the cuts, with most of its funding eliminated, and only 869 of more than 6,000 employees still on active duty.<\/p>\n
In all, the administration has decided to continue 898 U.S.A.I.D. awards and to end 5,341, the letter says. It says the remaining programs are worth up to $78 billion. But only $8.3 billion of that is unobligated funds \u2014 money still available to disburse. Because that amount covers awards that run several years into the future, the figure suggests a massive reduction in the $40 billion that U.S.A.I.D. used to spend annually.<\/p>\n
A spokesperson for the State Department, which now runs what is left of U.S.A.I.D., confirmed the terminations on the list were accurate and said that \u201ceach award terminated was reviewed individually for alignment with agency and administration priorities, and terminations were executed where Secretary Rubio determined the award was inconsistent with the national interest or agency policy priorities.\u201d<\/p>\n
The memo to Congress presents the plan for foreign assistance as a unilateral decision. However because spending on individual health programs such as H.I.V. or vaccination is congressionally allocated, it is not clear that the administration has legal power to end those programs. This issue is currently being litigated in multiple court challenges.<\/p>\n
Among the programs terminated is funding for the United Nations Food and Agriculture Organization, which conducts surveillance for diseases that can be transmitted from animals to humans, including bird flu, in 49 countries. Some major programs to track and fight malaria, one of the world\u2019s top killers of children, have also been ended.<\/p>\n<\/div>\n<\/div>\n
Dr. Austin Demby, the health minister of Sierra Leone, which relies on Gavi\u2019s support to help purchase vaccines, said he was \u201cshocked and perturbed\u201d by the decision to terminate U.S. funding and warned that the ramifications would be felt worldwide.<\/p>\n
\u201cThis is not just a bureaucratic decision, there are children\u2019s lives at stake, global health security will be at stake,\u201d he said. \u201cSupporting Gavi in Sierra Leone is not just a Sierra Leone issue, it\u2019s something the region, the world, benefits from.\u201d<\/p>\n
In addition to trying to reach all children with routine immunizations, Sierra Leone is currently battling an mpox outbreak, for which Gavi has provided both vaccines and critical support to deliver them, he said.<\/p>\n
\u201cWe hope the U.S. government will continue to be the global leader it always been \u2014 putting money in Gavi is not an expenditure, it\u2019s an investment,\u201d Dr. Demby said<\/p>\n
Gavi is estimated to have saved the lives of 19 million children since it was set up 25 years ago. The United States contributes 13 percent of its budget.<\/p>\n<\/div>\n<\/div>\n
The terminated grant to Gavi was worth $2.6 billion through 2030. Gavi was counting on a pledge made last year by President Joseph R. Biden Jr. for its next funding cycle.<\/p>\n
New vaccines with the promise to save millions of lives in low-income countries, such as one to protect children from severe malaria<\/a> and another to protect teenage girls against the virus that causes cervical cancer<\/a>, have recently become available, and Gavi was expanding the portfolio of support it could give those countries.<\/p>\n The loss of U.S. funds will set back the organization\u2019s ability to continue to provide its basic range of services \u2014 such as immunization for measles and polio \u2014 to a growing population of children in the poorest countries, let alone expand to include new vaccines.<\/p>\n By Gavi\u2019s own estimate, the loss of U.S. support may mean 75 million children do not receive routine vaccinations in the next five years, with more than 1.2 million children dying as a result.<\/p>\n The U.S. has been among the top donors to the organization since its creation, and became the largest during the Covid-19 pandemic. While European countries have historically provided significant funding, many are now reducing foreign aid spending as they grapple with the change in U.S. policy on Ukraine and the U.S. demand that they increase their defense spending. Japan, another major Gavi donor, is struggling with a depreciating currency.<\/p>\n<\/div>\n<\/div>\n Dr. Sania Nishtar, Gavi\u2019s chief executive, said that she hoped the Trump administration would reconsider the decision to end its support. Gavi\u2019s work keeps people everywhere, including Americans, safe, she said. In addition to protecting individual children, vaccination reduces the possibility of large outbreaks. The organization maintains global stockpiles for vaccines against diseases such as Ebola and cholera, deploying them in rapid response efforts for epidemics.<\/p>\n Gavi\u2019s structure requires countries to pay part of the cost of vaccines, with their share growing as income levels rise; middle-income countries are weaned from support.<\/p>\n Although the administration has repeatedly said publicly that its foreign assistance review process has been concluded, the information in the documents suggests that there is still some fluidity in which programs will survive. Staff members of one major malaria program that was terminated weeks ago, and which appears on the list of canceled projects sent to Congress, for example, were informed on Monday that it was being restored.<\/p>\n Nevertheless, cuts to malaria response are deep. While awards that fund the bulk purchase of bednets and malaria treatments have been preserved, many of the programs to deliver these and other malaria control efforts in countries such as Cameroon and Tanzania \u2014 among the most affected in the world \u2014 have been terminated. Some organizations with awards that have not been officially canceled have received no funds for more than two months, and have folded. Without them, there is no one to take treatments from ports to local clinics, or deliver them to children.<\/p>\n The memo says that 869 U.S.A.I.D. personnel were working as of last Friday, while 3,848 were on administrative leave and 1,602 are in the process of being laid off. Of 300 probationary employees who were initially fired, 270 have returned to work following a court order prohibiting their dismissal.<\/p>\n<\/div>\n<\/div>\n