The Trump Administration’s decision to withdraw foreign help and dismantle the North -American Agency for International Development is likely to cause enormous human suffering, according to the estimates of the same agency. Among them:
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up to 18 million additional cases of malaria a year and up to 166,000 additional deaths;
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200,000 children paralyzed with poliomyelitis annually and hundreds of millions of infections;
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One million children not treated by severe acute acute malnutrition, which is often fatal, every year;
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Each year, more than 28,000 new cases of infectious diseases such as Ebola and Marburg.
Nicholas Enrich, assistant administrator for Global Health, who was obtained by the New York Times. Mr. Enrich was on administrative leave on Sunday.
In a note, he blamed these potential health crises on « political leadership in USAID, the State Department and Dooge, which have created and continued to create intentional and/or involuntary obstacles that have fully prevented the implementation of help programs.
These leaders have blocked payment systems, created new and ineffective processes for payments, and have constantly changed their orientations on which activities are described as « life rescue », Enrich wrote.
Another note describes the reduction of the agency’s overall health workforce of 783 on January 20 to less than 70 Sunday.
In an interview, Mr. Enrich said he published the memoirs on Sunday afternoon, after an email message would set it on leave, set the record on USAID staff staff and the completion of thousands of rescue subsidies.
In detailing the series of events behind the stage, he hoped that « it will be clear that we were never given the opportunity to implement humanitarian life salvation. »
State department officials did not immediately respond to a comment request.
In January, the Trump administration freezed the funds for foreign aid. On January 28, the Secretary of State, Marco Rubio, issued a temporary resignation for the humanitarian assistance of life.
But in fact, very little money has been given, essentially closing help programs worldwide and forcing hundreds of organizations to fire workers or firefighters.
However, USAID overall health office employees sought to remain optimistic and to « do everything we can » to implement resignations, Enrich said.
But on Wednesday, the Trump administration ended up abruptly about 5,800 projects funded by USAID, including many who had resigned.
« It was finally clear that we were not going to implement under this resignation, » said Enrich.
« I needed for me and for all the staff who had been pouring my heart to do it; we needed records to show what had happened, » he said.
Enrich said he had hoped to collect one more note, showing the ways he and others had conveyed the risks of disorganizing crucial programs to Mark Lloyd and Tim Meisburger, agency political nominees. But they repeatedly asked for more details to justify the programs, he said.
« It is clear that Trump’s administration is aware that violates court orders and does not provide help to life he claimed to be funding under a resignation, » said Matthew Kavanagh, director of the Georgetown Health and Health Policy Center.
« Unless it is reversed, this will cost millions of lives, according to government accounting, » added Dr. Kavanagh.
According to Mr. Enrich’s note, other devastating impacts could include uncontrolled shoots of the Mobox flu and the
The interruption of tuberculosis programs abroad will cause more patients to reach the United States, warned Mr. Enrich’s note. Trying to a patient with resistant to several medicines costs more than $ 154,000 in the United States.
(Trump’s administration is said to be preparing the plans to return migrants as they could take TB to the country.)
Memories also notice the disruption of the effort to contain Ebola in Uganda.
A single Ebola patient in New York in 2014 cost $ 4.3 million in the city’s Health Department in response measures. The outbreak in Uganda seemed to be wiped, but to The 4 -year -old boy died At the beginning of the week, indicating that the virus was still traveling.
The consequences can extend beyond human health, affecting North -American companies (including agriculture) and families increasing care costs, disturbing international trade and tightening domestic resources.
Programs for maternal and childhood health and nutrition can stabilize the economy and political climate in other countries, says the note.
« Article 1 of the Constitution gives Congress the power to create or eliminate agencies and authorize spending, not the President, » said Dr. Kavanagh.
In dismantling the USAID and finishing its programs, the Trump administration not only « risks death for millions of the most marginalized worldwide, but also lead to a constitutional crisis in the cruelty service, » added Dr. Kavanagh.
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