Eight countries face HIV drug shortage due to US foreign aid freeze

Eight countries – six of them in Africa, including Nigeria, Kenya and Lesotho – could soon run out of HIV drugs following the US government’s recent decision to pause foreign aid, the UN World Health Organization (WHO) said.

US President Donald Trump announced the freeze on his first day in office in January as part of a review into government spending.

“Disruptions to HIV programmes could undo 20 years of progress,” WHO chief Tedros Adhanom Ghebreyesus warned, reports the BBC.

It could also lead to more than 10 million additional cases of HIV and three million HIV-related deaths, he added, noting this was “more than triple the number of deaths last year”.

Nigeria, Kenya, Lesotho, South Sudan, Burkina Faso and Mali – as well as Haiti and Ukraine – would run out of live-saving anti-retroviral (ARV) medicines in the coming months, Tedros said at a press conference on Monday.

Trump’s executive order paused foreign aid support for an initial duration of 90 days in line with his “America First” foreign policy.

It has affected health programmes around the world, leaving shipments of critical medical supplies, including HIV drugs, greatly hampered.

The majority of the US Agency for International Development’s (USAID) programmes have since been terminated.

Despite a waiver issued in February for the US’s ground-breaking HIV programme, its work had severely impacted.

Known as the US President’s Emergency Plan for Aids Relief (Pepfar), it relies on logistical support from USAID and other organisations hit by the turmoil.

It has led to the “immediate stop to services for HIV treatment, testing and prevention in more than 50 countries”, Tedros said.

Launched in 2003, Pepfar has enabled some of the world’s poorest people to access anti and has been credited with saving more than 26 million lives worldwide.

During his first days in office, Trump also announced that the US would pull out of the WHO, affecting funding for the global health agency.

“The US administration has been extremely generous over many years. And of course, it’s within its rights to decide what it supports and to what extent,” Tedros said.

An estimated 25 million people are living with HIV in sub-Saharan Africa, which is more than two-thirds of the global total 38 million people living with the disease.