US president Trump’s foreign aid cuts will strain responses to health crises worldwide

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Since taking office, Trump has frozen foreign aid funding, moved to dismantle USAID and announced plans to leave the WHO

Agence France-Presse |
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Medical staff at a now defunct healthcare centre to treat malnourished children in Kabul, Afghanistan. Entirely funded by Washington, the project had to shut down when the United States froze all foreign assistance. Photo: AFP

United States president Donald Trump’s aid cuts will have a devastating impact worldwide, threatening lives, the World Health Organization (WHO) has cautioned.

The US slashing of foreign aid risks piling pressure on already-acute humanitarian crises across the globe, a WHO official said on Sunday, also warning against withdrawing from the UN agency.

Since taking office in January, President Donald Trump has effectively frozen foreign aid funding, moved to dismantle the US Agency for International Development (USAID) and other programmes, and announced plans to leave the WHO.

Washington, which had long been the WHO’s biggest donor, did not pay its 2024 dues, and it remains unclear if the United States will meet its membership obligations for 2025.

The agency – already facing a gaping deficit this year – has proposed shrinking its budget by a fifth, likely reducing its reach and workforce, according to an earlier Agence France-Presse report citing an internal email.

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“The WHO with its partners have a significant role in sustaining healthcare systems, rehabilitation of healthcare systems, emergency medical team training and dispatching, pre-placement of trauma kits,” Hanan Balkhy, the WHO’s regional director for the Eastern Mediterranean, said.

“Many of these programmes have now stopped or are not going to be able to continue,” she said.

The funding cuts are likely to hinder the ability to continue delivering robust aid to communities in desperate need of care.

Balkhy cited the ongoing conflicts in Gaza, Sudan and Yemen as areas where healthcare institutions and aid programmes were already under pressure before the funding shake-ups.

The public health situation in the Gaza Strip is dire – more than a year and a half of fighting has seen large swathes of the Palestinian territory reduced to rubble, and few hospitals remain functioning.

“The emergency medical team support, procurement of the medications and the rehabilitation of the healthcare facilities, all of that has been immediately impacted by the freeze of the US support,” said Balkhy.

The now inoperative Therapeutic Feeding Unit (TFU), a healthcare centre that was run by ‘Action Against Hunger’. Cries of children have given way to a heavy silence, as patients are turned away and medical staff laid off due to US aid cuts. Photo: AFP

In Sudan, the WHO is facing mounting issues amid a bloody civil war that has displaced millions, with several areas hit by at least three different disease outbreaks – malaria, dengue and cholera, according to Balkhy.

“We work significantly to identify emerging and re-emerging pathogens to keep the Sudanese safe, but also to keep the rest of the world safe. So it will impact our ability to continue to do surveillance, detection of diseases,” she added.

A US departure from the WHO will also undercut long-established communication channels with leading research facilities, universities and public health institutions based in the United States.

That, in turn, would likely prevent the easy sharing of information and research, which is pivotal to heading off global public health crises like an emerging pandemic, said Balkhy.

“These bacteria and viruses, number one, know no borders. Number two, they are ambivalent to what’s happening in the human political landscape.”

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