US aid cuts may cause 14 million deaths including children: Lancet study
Until January 2025, USAID provided 40% of global humanitarian funding. Following Trump's return to office, advisor Elon Musk described dismantling the agency as putting it 'through the woodchipper.' The 83% budget reduction risks reversing two decades of global health progress, according to Barcelona Institute for Global Health researcher Davide Rasella, a co-author of the study.
The team analyzed data from 133 countries, finding USAID prevented 91 million deaths between 2001-2021. Their projections show current cuts could cause 700,000 annual child deaths. USAID-backed programmes reduced under-five mortality by 32% and overall deaths by 15%, with particularly strong results against HIV/AIDS (65% fewer deaths) and malaria.
Germany, UK and France have since announced similar aid reductions. ISGlobal's Caterina Monti warned these EU cuts may compound fatalities. Researchers stress outcomes could improve if funding resumes, noting USAID previously cost Americans just 17 cents daily.
As the Seville conference proceeds without US representation, co-author James Macinko of UCLA urged reconsideration: 'Most would support USAID if they knew how effectively small contributions save millions.'
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Free Malaysia Today
8 hours ago
- Free Malaysia Today
Discrimination of high-risk communities hinders HIV prevention efforts, say NGOs
Last Saturday, Kelantan police chief Yusoff Mamat said more than 20 men were arrested at a bungalow in Kota Bharu, allegedly for attending a 'gay party'. PETALING JAYA : Discrimination against high-risk communities will hinder HIV prevention efforts, says a coalition of NGOs, following the recent raid on a sexual health event in Kelantan. The Federation of Reproductive Health Associations Malaysia (FRHAM) said the marginalisation and societal disadvantages faced by such communities make outreach challenging. While it lauded the health ministry for reducing the number of new HIV cases through the national Needle and Syringe Exchange Programme, it said the epidemic has since shifted to sexual contact as a primary mode of transmission within the last decade. 'This necessitates a change of focus to effective prevention services,' said the federation's acting chairman, Dr Annuar Husainy Hussein. 'HIV prevention services include testing, treatment and safer sex practices, as well as the use of HIV medication. 'These services are essential public health initiatives, especially for populations at increased risk of HIV, including men who have sex with men, transgender persons, people who inject drugs and sex workers. 'FRHAM takes the stand that the harassment and persecution of the affected communities must cease, and that experts in the field be granted the necessary space to accomplish their work.' Last Saturday, Kelantan police chief Yusoff Mamat said more than 20 men were arrested at a bungalow in Kota Bharu, allegedly for attending a 'gay party'. However, several groups and doctors later clarified that it was a health event organised to provide sexual health and HIV-related information, condoms, and voluntary testing to promote safer sexual health practices. They said the event included talks by healthcare providers, including doctors. It was to have ended by midnight, but about 20 attendees were still at the event awaiting their test results.
Malay Mail
10 hours ago
- Malay Mail
Vilified by Kelantan cops as ‘gay party', here's what actually happens during an HIV outreach and why it's important
A June HIV outreach event in Kota Bharu provided HIV/STI screenings, counselling, health talks, and meals for 70 participants, ending late to accommodate those with work commitments. However, Kelantan police raided the outreach around 1am, labelling it a 'gay sex party'; three men were later fined for possessing obscene content, though no sexual activity or drug use was found. Civil society groups condemned the raid's misinformation and stigmatising impact, warning it could deter vulnerable communities from accessing vital HIV prevention services. KOTA BHARU, July 26 — Kelantan police were lambasted last week after accusing an HIV health outreach programme here in June as a 'gay sex party', with the Malaysian AIDS Council (MAC) and other civil societies forced to correct the misinformation. Despite that, three men arrested by the police during the event had already been charged in court with possessing 'obscene' images and videos on their phones — and were subsequently fined after pleading guilty. In a statement last week, the MAC explained that the event was part of a long-term health outreach initiative organised by the local NGO Kelantan Patient Intermediary Association (Sahabat) under the Malaysian AIDS Foundation (MAF) to promote HIV interventions among hard-to-reach populations. The MAC said the session was held in collaboration with Kota Jembal Health Clinic, and is a part of the Differentiated HIV Services for Key Populations (DHSKP) model introduced by the Health Ministry (MOH) to combat AIDS by 2030. Malay Mail unpacks the event and why it is essential: Kelantan State Health Director Datuk Dr Zaini Hussin has denied that it is the organiser of the HIV outreach programme raided by police. — Picture from Facebook/Jabatan Kesihatan Kelantan What is DHSKP anyway? Health Minister Datuk Seri Dzulkefly Ahmad last week confirmed on X that the event was part of ongoing outreach efforts. As outlined by the MAC, the DHSKP is a strategic, community-driven initiative aimed at tailoring HIV services to the unique needs of populations most at risk. These key populations include men who have sex with men, transgender individuals, people who inject drugs, and female sex workers or women at risk. This model relies on collaborations between community organisations and government clinics, positioning community healthcare workers as pivotal in connecting people at risk to essential prevention, testing, treatment, and care services. Such efforts aim to make healthcare more inclusive, accessible, and effective, especially for those facing discrimination within traditional healthcare settings. SalamMadani Colloboration bet MOH, State Health Depart JKN) & health NGO groups, is of great importance in reaching out to high-risk populations in order to impart knowledge about prevention strategies, the importance of early diagnosis & benefits of early treatment in… — Dzulkefly Ahmad (@DrDzul) July 21, 2025 'With the current shift in HIV transmission trends toward sexual contact, intervention strategies have been adapted to respond to emerging needs,' Sahabat said in a statement yesterday. 'Efforts are now focused on reaching individuals engaged in high-risk sexual behaviour, a group often difficult to access through conventional health services. All interventions are carried out with sensitivity to local cultural norms and values.' Sahabat explained it has been a key implementing partner in HIV prevention programmes for high-risk communities in Kelantan, working in close collaboration with the MOH, MAC, and the Kelantan Health Department — even as the latter previously tried to distance itself from the event. 'This long-standing partnership has played a significant role in reducing new HIV infections in the state — particularly among people who inject drugs, once the primary driver of local HIV transmission,' it said. Sahabat said the event was simply intended to offer a safe, stigma-free environment for delivering essential health information. — Picture courtesy of Sahabat What actually happened that night of the raid? Sahabat said it had organised a community outreach programme at a homestay here on June 17, when the police raided the event while claiming it was a 'gay sex party' event. Kelantan police chief Datuk Mohd Yusoff Mamat insisted they had acted due to complaints and cited valid intelligence in justifying its raid — arguing it was done to maintain public order and safeguard moral values. However, Sahabat said the event were merely aimed to provide a safe, stigma-free space to deliver vital health information, screening services, and counselling to members of the key populations. According to Sabahat: A total of 62 individuals attended the event, including 13 Sahabat staff members, in addition to a Family Medicine Specialist and a Medical Officer who served as guest speakers. The session began with a health talk on HIV and sexually transmitted infections (STIs), followed by an interactive quiz and a communal meal. Those who tested positive were referred to MOH facilities for confirmatory testing and follow-up treatment. Four participants living with HIV also attended with their own antiretroviral medication. No medication was dispensed or distributed at the event. The event concluded at approximately 11:30 p.m., with around 20 individuals, including seven Sahabat staff, staying behind to complete follow-up screening in phases. 'The programme was conducted outside regular office hours to allow working participants to attend and benefit from the services offered,' an MAC spokesman told Malay Mail. 'Each individual screening took between 10 and 15 minutes. In total, the session extended to nearly six hours — well past midnight — to ensure that all 70 clients received both testing and appropriate counselling.' Kelantan health director Datuk Dr Zaini Hussin previously said he was informed that the raid had happened well after the outreach programmed ended. MAC and Sahabat maintained that the raid happened around 1am, when screenings were still conducted. Kelantan Police Chief Datuk Mohd Yusoff Mamat said their intention behind the raid was simply to undertake 'amar makruf' (enjoining good) and 'nahi mungkar' (forbidding the bad). — Bernama pic What has the reaction been so far? The raid has prompted a coalition of 31 NGOs and civil entities led by transgender advocacy group Justice for Sisters (JFS) to release a statement urging Kelantan police to correct their portrayal of the June event. The coalition said all attendees tested negative in police-conducted urine tests, and no evidence of sexual activity or promotional content on social media was found. The coalition said the police's public statements were stigmatising, including unnecessary disclosure of HIV status and harmful suggestions about HIV medication. They also alleged human rights violations during the raid, including degrading treatment and privacy breaches, which have deterred victims from seeking redress. JFS co-founder S. Thilaga told Malay Mail that due to Malaysia's legal environment, these programs cannot be openly promoted, making it crucial for NGOs supported by the MOH to conduct targeted outreach efforts. Thilaga warned that labelling the event as a 'gay party' could incite moral panic among LGBTQ and vulnerable communities. 'Following the raid, there's heightened fear and concern for safety,' she said, adding that such actions might undermine trust between these communities and service providers. Citing a MOH report, Thilaga said conducting HIV outreach is challenging for the LGBTQ groups due to existing discrimination. 'This issue may further deter vulnerable groups from seeking services,' she added. Justice for Sisters co-founder S. Thilaga warned that the raid has only made the LGBTQ community more afraid of getting health services. — Picture by Hari Anggara. Echoing similar sentiments, PT Foundation acting chief operating officer Raymond Tai expressed concern over the incident's impact on the collaborative programmes between the Health Ministry and NGOs. 'The controversy jeopardises the programme's future, which is pivotal for our 2030 target,' he said, stressing that continued efforts are vital for success. Tai said Malaysia is an exemplary country that uses government and NGO partnership to mitigate HIV/AIDS to end it in 2030. Following the controversial police raid, JFS said it conducted a survey among vulnerable communities, receiving responses from 93 from the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community and 13 from outside the community. The findings revealed some concerns within the LGBTQ community:
Malaysian Reserve
13 hours ago
- Malaysian Reserve
NAMI Statement on Executive Order Targeting Homelessness and Criminalizing Mental Illness
ARLINGTON, Va., July 25, 2025 /PRNewswire/ — Yesterday, the White House released a new Executive Order, 'Ending Crime and Disorder on America's Streets,' which directs federal agencies to make it easier to involuntarily treat people with serious mental illnesses as part of a bid to address homelessness across the United States. While addressing the nationwide homelessness crisis is urgent and necessary, yesterday's executive order promoting institutionalization of people with mental illness raises grave concerns for NAMI and our community. NAMI's Chief Executive Officer Daniel H. Gillison, Jr. said: 'Mental illness is not a crime, and people with mental illness deserve to be treated as human beings, with dignity and respect. While we agree that homelessness is an urgent crisis in our country, to truly address the systemic causes of this crisis, we should be pouring resources into treatment to improve early access to care and investing in supportive housing and other wrap-around services. It's always ideal – and best – for an individual to engage in their own treatment. Yet, too many NAMI families know that isn't always possible. Unfortunately, yesterday's order concerningly focuses broadly on institutionalization and not on real solutions that we know work in helping people lead better lives.' NAMI believes that in the rare instances where voluntary engagement in treatment is not possible, involuntary commitment should be used only as a last resort and only when it is believed to be in the best interests of the individual. While it is unclear how the executive order will be carried out since state law governs the process of involuntary civil commitment, the order also urges moving away from a 'housing first' approach, which has been successful in helping individuals stay connected to treatment and reduce homelessness. While NAMI is troubled by the overall order, it does include a direction to federal agencies to support crisis response services and prioritize funding for mental health and drug courts – strategies that NAMI supports. This executive order comes at a time when significant cuts are being made to mental health services nationwide. Earlier this month, Congress passed legislation that will drastically cut Medicaid and Supplemental Nutrition Assistance Program (SNAP) benefits, impacting millions of Americans. The Administration has rescinded more than $1 billion in grants from the Substance Abuse and Mental Health Services Administration (SAMHSA), with more cuts proposed for the next fiscal year. These changes will result in far too many people being unable to get the treatment they need. When that happens, more people will be arrested, incarcerated, land in emergency rooms, lose their connection to family and community, and ultimately become homeless. NAMI's Chief Advocacy Officer Hannah Wesolowski said: 'Rather than providing access to critical mental health services, this executive order appears to prioritize coercive tactics to move people who are homeless out of the public eye. This does nothing to address the root causes of homelessness, runs a high risk of exacerbating the homelessness crisis, and is not the way to address our mental health needs. People with mental illness deserve better.' For more information on the public policies that NAMI supports, visit
