The United Nations’ leading AIDS official warned on Monday that the abrupt cessation of U.S. foreign aid could cause the world to revert to the most devastating periods of the global AIDS epidemic, with millions facing death as a result.

Historically, the United States has led as the largest provider of humanitarian aid globally. However, after President Donald Trump returned to the White House about two months ago, he significantly reduced international assistance, causing widespread disruption within the global humanitarian sector.

The UNAIDS Executive Director, Winnie Byanyima, warned that failure to reinstate U.S. funding or secure contributions from other sources could result in “an additional… six-point-three million AIDS-related fatalities” within just four years, marking a tenfold rise in mortality rates during this period.

“You’re discussing the potential loss of progress achieved over the past 25 years. This is quite concerning,” she stated to journalists in Geneva.

“It is understandable for the U.S. to aim at gradually decreasing its financial contributions, however, the abrupt termination of essential aid is causing severe consequences,” she stated.

The reductions from the U.S. imply that currently, 27 nations across Africa and Asia are facing staffing shortages, diagnostic services and treatments are being disrupted, and disease monitoring systems are deteriorating.

– Risk of global AIDS rebound

Beyond the upcoming four-year period, If assistance funding isn’t reinstated, “we anticipate the resurgence of the AIDS epidemic… on a global scale,” Byanyima warned. This escalation would particularly affect regions such as Eastern Europe and Latin America.

We’ll witness its return, and we’ll see people pass away just as we observed in the ’90s and the 2000s.

She praised American leadership in the battle against AIDS as “one of the most humanitarian efforts in global health.”

She pointed out the US anti-HIV program known as PEPFAR, renowned as one of global health’s greatest successes for saving approximately 26 million lives throughout its twenty-year span.

Now, owing to American innovations, the world stands “on the brink of another revolution in preventive treatments,” Byanyima stated, highlighting a novel medication known as lenacapavir, which was created by the U.S. pharmaceutical company Gilead.

Studies have shown the medication to be 100% effective, and Byanyima mentioned that trials are ongoing with the aim of administering it as a yearly single dose, making it much more affordable for lower-income nations.

That is similar to a flu vaccine,” she stated. “If implemented aggressively…we could reduce new infections nearly to zero. We might witness the end of AIDS.

Byanyima reached out to the “bargain-making” President Trump personally, emphasizing that reviving the worldwide HIV response would be “a tremendous bargain”: lenacapavir has the potential to “generate profits for Gilead, foster good job opportunities for Americans, and save lives.”

She proposed that once PEPFAR resumes operations, UNAIDS can collaborate with the United States and other contributors to assist low-income nations in achieving autonomy in their battle against HIV.

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The AIDS epidemic poses a renewed global threat due to halted U.S. funding, warns the United Nations.
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