Researchers have raised alarms about potential cuts to the U.S. Agency for International Development (USAID), warning that these changes could lead to around 14 million deaths globally over the next five years. The study, published in The Lancet, highlights that about 4.5 million of these deaths could be among children under five years old.
The report emphasizes that unless the significant funding reductions set to take effect in early 2025 are reversed, the world could witness a shocking number of avoidable deaths by 2030. The cuts not only threaten lives but also risk undoing decades of progress in health and economic development, particularly in low and middle-income countries (LMICs).
USAID has played a crucial role in saving lives, reportedly preventing over 91 million deaths since its establishment in 1961. This includes a 65% reduction in deaths from HIV/AIDS, which translates to about 25.5 million lives saved. The agency has also contributed to preventing eight million malaria deaths, over 11 million from diarrheal diseases, and nearly five million from tuberculosis.
The agency’s work is especially vital in African nations, where health improvements have been significant. However, the Trump administration’s approach has led to major cuts, with more than 80% of USAID programs reportedly closed following a review. This has left only about 1,000 active projects.
U.S. Secretary of State Marco Rubio has pointed to these closures as part of a broader strategy to eliminate what the government describes as wasteful spending. The U.S. is the largest donor of humanitarian aid globally, contributing approximately $61 billion last year, which accounts for about 38% of total foreign assistance.
The potential impact of these cuts is staggering. Experts warn that they could reverse years of advancements in global health and development. As the world watches, the future of millions hangs in the balance, and advocates are urging for a reconsideration of these funding decisions to protect the most vulnerable populations.