USAID rollback could lead to deaths of 14 million over the next five years, researchers say

A member of the recently dismissed USAID staff reacts by leaving work, when sending by former USAID employees and supporters outside the USAID offices in Washington, DC, United States, February 21, 2025. – Reuters

More than 14 million of the most vulnerable people in the world, including a third, small children, could die because the Trump administration has dismantled American foreign aid, sought after on Tuesday.

The study by the prestigious Journal Lancet was published as world leaders and business leaders for a United Nations Conference in Spain this week, in the hope of strengthening the sector of assistance in shock.

The American Agency for International Development (USAID) had provided more than 40% of world humanitarian funding until Donald Trump returned to the White House in January.

Two weeks later, Trump’s closure advisor – and the richest man in the world – Elon Musk boasted of having put the agency “through bombing”.

The funding reduces “the risk of stopping suddenly – and even to reverse – two decades of progress in health among the vulnerable populations”, warned the co -author of the Davide Rasella study, researcher of Barcelona Institute for Global Health (Isglobal).

“For many low and intermediate income countries, the resulting shock would be comparable to the scale of a global pandemic or a major armed conflict,” he said in a statement.

By thinking about 133 nations data, the international team of researchers estimated that the financing of the USAID had prevented 91 million deaths in developing countries between 2001 and 2021.

They also used modeling to project how financing is reduced by 83% – the figure announced by the US government earlier this year – could affect mortality rates.

The cuts could lead to more than 14 million avoidable deaths by 2030, projections revealed. This number included more than 4.5 million children under the age of five, or around 700,000 deaths per year.

For comparison, around 10 million soldiers were said to have been killed during the First World War.

The programs supported by the USAID were linked to a 15% decrease in the deaths of all the causes, the researchers revealed. For children under the age of five, the drop in deaths was twice as high at 32%.

USAID funding has proven to be particularly effective in avoiding avoidable deaths of the disease.

There was 65% of death in less of HIV / AIDS in countries receiving a high level of support compared to those who have little or no funding for the USAID, the study revealed. Malaria deaths and neglected tropical diseases have also been reduced by half.

Time to evolve

After the USAID was emptied, several other main donors, including Germany, the United Kingdom and France, followed suit to announce plans to reduce their foreign aid budgets.

These aid reductions, especially in the European Union, could lead to “even more additional deaths in the coming years,” said the co-author of the Caterina Monti study of Isglobal.

But the dark projections for deaths were based on the current quantity of promised aid, so they could quickly descend if the situation changes, the researchers stressed.

Dozens of world leaders meet in the Spanish city of Seville this week for the largest aid conference in a decade. However, the United States will not attend.

“Now is the time to get to the scale, not to go back,” said Rasella.

Before its funding was reduced, USAID represented 0.3% of all American federal expenses.

“American citizens contribute about 17 hundred a day to the USAID, around $ 64 per year,” the co-author of the James Macinko study of the University of California said in Los Angeles.

“I think most people would support continuous funding from the USAID if they knew how effective such a contribution can be to save millions of lives.”

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