After US aid cuts, data shows HIV testing drops in South Africa
STORY: The testing and monitoring of HIV patients in South Africa has significantly fallen, previously unpublished government data has shown.
That's since, and - according to four HIV experts - appears to be because of, a U.S. cut in aid that funded health workers and clinics.
"Wow, people, they're going to die. Really. People, they're going to die."
That's Sophy Moatshe, an HIV activist and community leader in the Johannesburg township of Diepsloot.
South Africa has the world's highest burden of HIV; around 8 million people, or one-in-five adults, live with the virus.
But Moatshe said it can be hard to get HIV patients to seek care because of stigma.
The U.S. was funding 17% of South Africa's HIV budget before President Donald Trump's cuts.
That paid for resources like, for example, the salaries of 15,000 healthcare workers under the U.S. President's Emergency Plan for AIDS Relief, or PEPFAR.
Those healthcare workers carried out tests and counseling and followed up with patients.
PEPFAR funding also supported NGO-run clinics which have now closed.
Having frozen many foreign aid programs, Trump has reinstated some lifesaving assistance - including parts of PEPFAR.
But he's also targeted South Africa specifically - cutting all funding to the country via an executive order in February.
In the last two months, according to data from South Africa's National Health Laboratory Service, viral load testing has fallen.
It measures how much of the virus is in the blood of people living with HIV who are on anti-retroviral treatment.
That checks if treatment is working and if the virus is sufficiently suppressed to prevent it from spreading to others.
Viral load testing is down more than 21% for pregnant women, the data showed, while early infant diagnostic testing has dropped almost 20%.
Epidemiologist Dvora Joseph Davey:
"So if all of this testing is not getting done, we don't know what level of virus pregnant women have. We don't know how many infants are acquiring HIV. And unfortunately, all of these people are the most vulnerable in our society here. And so pregnant women and infants are at extreme risk of HIV infection, HIV transmission without PEPFAR and the government of South Africa's support."
Amid Trump's 'America First' agenda, the long-term future of HIV-related U.S. assistance - in South Africa and indeed the rest of the world - remains unclear.
The U.S. State Department did not immediately respond to a request for comment.
A spokesperson for South Africa's Department of Health, given a summary of the testing data, said more analysis was needed.
He added that South Africa already had challenges with patient retention and viral load testing before the aid cuts.
However, HIV experts have been saying for months that the health ministry has been downplaying the impact of the funding loss.
A drop in testing figures could be an early warning sign, they added, followed by a rise in new cases and deaths.
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Yahoo
2 hours ago
- Yahoo
Measles resurgence highlights the toll of RFK Jr.'s anti-vaccine policies
After the U.S. surpassed 1,000 reported measles cases nationwide, it's clear the Trump administration is failing to protect our health and well-being. The measles outbreak in Texas is now the largest since 2000, when the country eliminated measles. And it's not yet over, threatening to make measles endemic in America again, where the risk of infection comes from within our country. Furthermore, two unvaccinated school-aged children in Texas died from measles, the first American children to die from the viral infection since 2003. Normally, a preventable infection causing avoidable deaths of children would lead to prompt government action. In 1991, I was a medical student with the U.S. Public Health Service in Philadelphia during a large measles outbreak. Over 1,000 people were infected, and nine children died. Government and public health leaders required home visits of infected children, mass immunization, education efforts and even court-mandated vaccinations. The outbreak was stopped. In Dec. 2014, a measles outbreak began at Disneyland and spread in communities with low vaccination rates. Public health action stopped this large outbreak at 125 cases. To prevent further outbreaks in California, I authored Senate Bill 277, which eliminated non-medical exemptions for school vaccines. And with further U.S. measles outbreaks in 2019, I authored Senate Bill 276 to crack down on fraudulent medical exemptions. These laws — championed by California parents demanding safe schools for children — raised statewide vaccination rates and shielded our communities. As Congress waits, Health and Human Services Secretary Robert F. Kennedy Jr. is dismantling decades of public health achievement that will make America sicker. Kennedy reduced vaccine outreach, removed key public health officials, spread disinformation from his official post and suppressed data while elevating conspiracy theorists to top positions. Kennedy and the Department of Government Efficiency fired a quarter of Health and Human Services staff, gutting the Centers for Disease Control and Prevention (CDC) and National Institutes of Health teams vital to outbreak response. He installed anti-vaccine extremists as advisors, including David Grier, a discredited researcher disciplined for unethical experiments on children with autism, to 'research' if vaccines cause autism, despite decades of research debunking this myth. The CDC has been muzzled: An analysis showing high rates of measles in low vaccination areas was suppressed, and dozens of Texas vaccination clinics were forced to close. When Kennedy dismantled the CDC's communication team, his former anti-vaccine organization, Children's Health Defense, filled the void with disinformation by publishing a fake CDC-branded vaccine 'safety' website that falsely linked vaccines to autism. The site mimicked official CDC design and branding, deliberately misleading the public. After news reports exposed the deception and forced the site's removal, no federal action has been taken to investigate or prosecute this unlawful impersonation of a federal agency. Furthermore, Dr. Peter Marks, the nation's top vaccine regulator who led President Donald Trump's Operation Warp Speed, refused a demand for false data on brain swelling and death caused by the Measles-Mumps-Rubella vaccine, of which there are no credible cases. Kennedy forced him to resign. In his resignation letter, Marks wrote, 'it has become clear that truth and transparency are not desired by the secretary, but rather he wishes subservient confirmation of his misinformation and lies.' And what of the dead children from measles? Kennedy dismissed the first measles death, saying 'it's not unusual.' He blamed measles on poor nutrition, called vaccines a 'personal choice' that could cause 'adverse events' and claimed Vitamin A and cod liver oil treated measles. Subsequently, many Texas children hospitalized with measles also had Vitamin A toxicity. At his first Congressional hearing, Kennedy testified, 'I don't think people should be taking medical advice from me.' He then refused to answer whether he would vaccinate a child against polio. As Health and Human Services secretary, he cravenly refuses to save Americans in a public health crisis. How many children must get sick — and even die — before Congress demands that Kennedy and the Trump administration answer for these preventable deaths and the continued spread of a preventable disease? This flu season, as flu vaccination declined, 226 children died from influenza — the highest since the 2009-10 pandemic. Other preventable and deadly diseases, including polio and whooping cough, will also return when vaccination is hampered and discouraged. Our state has made progress in raising vaccination rates, but we are not immune to Kennedy's dangerous vaccine disinformation; California has communities with enough unvaccinated people to fuel a serious outbreak. Measles outbreaks in other states makes it imperative that California strengthen our public health defenses against sparks of infection. And California needs Congress to hold President Donald Trump and Kennedy accountable for not stopping preventable disease in America. Dr. Richard Pan is a pediatrician and former California state senator who authored landmark legislation to eliminate non-medical exemptions to school vaccination requirements in response to major measles outbreaks.
2 hours ago
8 Palestinians killed by Israeli troops in shooting near aid distribution center, Gaza officials say
Israel i troops shot and killed at least eight Palestinians near a humanitarian aid distribution center in the Rafah, Gaza, early Saturday, according to hospital officials and Gaza's Hamas-run Ministry of Health. The deadly shooting occurred at the Al-Alam roundabout near an aid center west of Rafah city at around 6 a.m. local time, according to the health ministry. The area is approximately 1 kilometer from an aid distribution center, which the Israel Defense Forces considers an active combat zone during the night when the site is closed. The Israeli- and U.S.-backed Gaza Humanitarian Foundation -- which is running aid distribution in Gaza -- closed its aid distribution sites on Friday, without giving a date on when they would reopen. Palestinians in Gaza remain at risk of extreme starvation and famine, the United Nations and other aid groups have warned. Since May 27, when the aid distribution centers were established, more than 100 Palestinians have been killed and hundreds more have been wounded while trying to collect food from the sites, Gaza's Hamas-run Government Media Office said. The Nasser Medical Complex received four out of the eight deceased victims from the incident so far, a source at the hospital told ABC News. The Gaza Humanitarian Foundation has not responded to ABC News' request for comment. The Israel Defense Forces said it "is aware of the reports of casualties." "Despite prior warnings that the area is an active combat zone during nighttime hours, several suspects attempted to approach IDF troops operating in the Tel al-Sultan area overnight (Saturday), in a manner that posed a threat to the troops," the IDF told ABC News when asked for comment. "The troops called out to the suspects to drive them away, but as they continued advancing in a way that endangered the troops, the soldiers responded with warning shots." Reverend Dr. Johnnie Moore, the new chairman of GHF, told ABC News this week the organization "can't control what happens outside" the distribution points and added that there have been incidents, "as one would expect, in a war, outside of our distribution sites." According to Moore, GHF -- since it was set up 10 days ago -- had distributed "10 million meals to Gazans, to thousands and thousands and thousands of people." The GHF has not specified what it defines as a single "meal."
The Hill
3 hours ago
- The Hill
Trump stokes fear, confusion with pulled emergency abortion guidance
The Trump administration sowed confusion and fear among physicians with its move this past week to rescind Biden-era guidelines to hospitals that provide life-saving abortions. While the move doesn't change the law, doctors and reproductive-rights advocates fear it will have a chilling effect on health care workers in states with abortion bans, ultimately harming pregnant women. Earlier this past week, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) announced they would rescind guidance issued during the Biden administration, which reinforced to hospitals that under the Emergency Medical Treatment and Labor Act (EMTALA,) abortions qualify as stabilizing care in medical emergencies. Emergency rooms in states with abortion bans have been struggling since the 2022 overturning of Roe v. Wade to understand when they can legally provide emergency abortions. After President Trump pulled the Biden-era guidance seeking to clarify that question, emergency room doctors will experience 'more confusion' and 'more fear,' according to health and legal experts who spoke with The Hill. 'Clinicians are scared to provide basic medical care, and this care is clearly in line with medical ethics … medical standards of care, and they're being put in this situation where they can't win,' said Payal Shah, director of research, legal and advocacy at Physicians for Human Rights. Since the Supreme Court overturned Roe v. Wade in 2022, at least 13 states have enacted near-total abortion bans, according to data from the Guttmacher Institute. There are exceptions in these states when continuing a pregnancy poses a threat to the health or life of the mother. However, most of the language in state laws is unclear on how that determination is made, resulting in instances of emergency rooms denying care. Doctors in states like Idaho, Texas and Tennessee have filed lawsuits requesting that lawmakers clarify when an abortion is allowed to save the life of a pregnant person. The doctors and patients involved in the lawsuits argue that state laws do not adequately protect pregnant patients in emergencies. Many of these states have severe punishments for doctors who violate abortion bans, like steep fines and prison time. 'For clinicians, there is actually no safe way to navigate this in this moment, and ultimately, that's how these laws are designed,' Shah said. 'They're designed to cause chaos and confusion. They're often written in ways that don't use medical terminology.' Without clear guidance, pregnant women suffer and sometimes die, as ProPublica has reported. One striking example of this is the 2023 case of Kyleigh Thurman, a Texas woman who was repeatedly denied care for a nonviable pregnancy after days of experiencing bleeding and pain. Health care workers discovered that she had an ectopic pregnancy, which is when a fertilized egg implants and begins to grow outside of the uterus, usually in a fallopian tube. Ectopic pregnancies are never viable and are life-threatening if not treated properly. It wasn't until her OB/GYN 'pleaded to hospital staff that she be given care,' that the hospital administered a shot ending her pregnancy, according to a complaint filed by the Center for Reproductive Rights on behalf of Thurman. The shot came too late, and the ectopic pregnancy ruptured Thurman's right fallopian tube, which was then removed. 'If a patient is actively hemorrhaging or experiencing an ectopic pregnancy which is also life-threatening, doctors need that clear guidance that yes, EMTALA applied,' said Autumn Katz, associate director of U.S. litigation at the Center for Reproductive Rights. A federal investigation into Thurman's case found that the Texas hospital violated EMTALA, according to a recent letter from the CMS. 'I finally got some justice,' Thurman said in a statement. 'I hope this decision will do some good in encouraging hospitals to help women in situations like mine.' Hospitals that violate EMTALA are subject to heavy fines and, in some extreme cases, risk losing a portion of their Medicare and Medicaid hospital funding, according to the National Institutes of Health. Former President Biden leaned on the law to preserve access to emergency abortion across the country, leading to a legal fight with Idaho, which has a strict abortion ban. The Supreme Court last year dismissed the case, declining to rule on the merits of a politically charged case. The rescinding of these guidelines also means hospitals that violate the law will likely not be investigated as often as they were under previous administrations, according to Shah. That lack of punitive risk means that hospitals could be incentivized to deny life-saving care for patients. 'The standard of EMTALA is pretty high,' said Katherine Hempstead, senior policy adviser at Robert Wood Johnson Foundation. 'This kind of takes that layer of reassurance away, and it will make a lot of providers feel very vulnerable.'
