Health
Trump and Musk Bring Vast Aid Machinery to a Halt in Africa
For decades, sub-Saharan Africa was a singular focus of American foreign aid. The continent received over $8 billion a year, money that was used to feed starving children, supply lifesaving drugs and provide wartime humanitarian assistance.
In a few short weeks, President Trump and the South African-born billionaire Elon Musk have burned much of that work to the ground, vowing to completely gut the U.S. Agency for International Development.
“CLOSE IT DOWN!” Mr. Trump wrote on social media on Friday, accusing the agency of unspecified corruption and fraud.
A federal judge on Friday halted, for now, some elements of Mr. Trump’s attempt to shutter the agency. But the speed and shock of the administration’s actions have already led to confusion, fear and even paranoia at U.S.A.I.D. offices across Africa, a top recipient of agency funding. Workers were being fired or furloughed en masse.
As the true scale of the fallout comes into view, African governments are wondering how to fill gaping holes left in vital services, like health care and education, that until recent weeks were funded by the United States. Aid groups and United Nations bodies that feed the starving or house refugees have seen their budgets slashed in half, or worse.
By far the greatest price is being paid by ordinary Africans, millions of whom rely on American aid for their survival. But the consequences are also reverberating across an aid sector that, for better or worse, has been a pillar of Western engagement with Africa for over six decades. With the collapse of U.S.A.I.D., that entire model is badly shaken.
“This is dramatic and consequential, and it’s hard to imagine rowing it back,” said Murithi Mutiga, Africa program director at the International Crisis Group. Mr. Mutiga described the collapse of the agency as “part of the unraveling of the post Cold War order.”
“Once, the primacy of the West was assumed” in Africa, he said. “No more.”
Experts say the agency’s abrupt undoing will cost many lives by creating huge gaps in public services, especially in health care, where U.S.A.I.D. has poured much of its resources.
In Kenya alone, at least 40,000 health care workers will lose their jobs, U.S.A.I.D. officials say. On Friday, several U.N. agencies that depend on American funding began to furlough part of their staff. The United States also provides most of the funding for two large refugee camps in northern Kenya that house 700,000 people from at least 19 countries.
Ethiopia’s health ministry has fired 5,000 health care professionals who had been recruited under American funding, according to an official notification obtained by The New York Times.
“We are in disbelief,” said Medhanye Alem of the Center for Victims of Torture, which treats survivors of conflict-related trauma at nine centers in northern Ethiopia, all now closed.
Of over 10,000 U.S.A.I.D. employees worldwide, barely 300 will remain under changes conveyed to staff on Thursday night. Only 12 will remain in Africa.
The most pressing challenge for many governments is not to replace the American staff members or money, but to save American-built health systems that are rapidly crumbling to the ground, said Ken O. Opalo, a Kenyan political scientist at Georgetown University in Washington.
Kenya, for instance, has enough drugs to treat people with H.I.V. for over a year, Mr. Opalo said. “But the nurses and doctors to treat them are being let go, and the clinics are closing.”
Broader economic shocks are also likely in some of the world’s most fragile countries.
American aid accounts for 15 percent of economic output in South Sudan, 6 percent in Somalia and 4 percent in the Central African Republic, said Charlie Robertson, an economist who specializes in Africa. “We could see governance effectively cease in a few countries, unless others step up to replace the hole left by the U.S.,” he said.
Whether U.S.A.I.D. is truly dead may yet be determined by Congress and the U.S. courts, where supporters have filed a raft of legal challenges. But the Trump administration seems determined to move faster than its challengers.
As Mr. Musk and his team have commandeered the agency’s operations in Washington, shuttering its headquarters and sacking or suspending 94 percent of its staff, its vast aid machinery in Africa has shuddered to a halt.
In major hubs in Kenya, South Africa and Senegal, American aid officials were shocked to find themselves labeled “criminals” by Mr. Musk, then ordered to return to the United States, according to eight U.S.A.I.D. employees or contractors who all spoke on the condition of anonymity for fear of retaliation.
On Friday, the Trump administration gave all U.S.A.I.D. staff members 30 days to pack their bags and come home, causing turmoil among families now faced with the prospect of pulling children out of school on short notice. If the federal court that is now reviewing that directive does not overturn it, few will have jobs to return to.
Several U.S.A.I.D. officials noted that Google’s artificial intelligence system, Gemini, had been activated on their internal communications systems recently, and that internal video calls conducted on the Google platform were suddenly set to automatically record.
Officials said they worried that Mr. Musk’s team could use A.I. to monitor their conversations to ferret out dissenters, or to excerpt snippets of conversations that might be weaponized to discredit the agency.
Colleagues at the agency have turned to Signal, an encrypted messaging app, this week to share information unofficially. People are being driven by fear, one of them said.
In private, even senior U.S.A.I.D. officials agree that the agency needs an overhaul. In interviews, several recognized the need to streamline its bureaucracy, and even questioned an aid system that relies so heavily on American contractors and fosters a damaging culture of dependency among African governments.
Announcements by Marco Rubio, the secretary of state and acting head of U.S.A.I.D., that emergency food and lifesaving aid would be exempted from the administration’s cuts were initially welcomed by employees. But, officials said, it turned out to be largely a mirage. Despite the promise of waivers, many have found it impossible to obtain one.
Worst of all, many said, were the broadsides delivered by Mr. Musk and the White House portraying the agency as a rogue, criminal agency run by spendthrift officials pursuing their personal agendas. Such attacks were false and deeply hurtful to Americans who sought to relieve human suffering around the world, several people said.
In Nairobi, where U.S.A.I.D. has about 250 Kenyan and 50 American staff members, several Kenyans spoke at a tense town hall this week.
They worried that talk at the White House of widespread corruption inside the agency might cause other Kenyans to believe that they, too, had benefited from fraud, said an official who attended the meeting.
Like the Americans present at the town hall, the Kenyans worried they were about to be fired. But there was one major difference between the two groups, the official noted: While the Kenyans were anxious for their livelihoods, the Americans were worried about their country.
Health
GLP-1 drugs linked to higher fracture risk, osteoporosis and gout, new studies suggest
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GLP-1 medications such as Ozempic and Wegovy have transformed treatment for Type 2 diabetes and obesity, but new research suggests doctors may need to pay closer attention to bone health, especially in older patients taking the drugs.
Older adults with Type 2 diabetes who started GLP-1s had an 11% higher risk of fragility fractures compared to those taking other diabetes medications, a study published in February in the Journal of Clinical Endocrinology & Metabolism found.
Dr. Michal Kasher Meron, an endocrinologist at Meir Medical Center in Israel and lead author of the study, said the relative increase may sound small, but it carries weight for an at-risk population.
“Both older age and Type 2 diabetes are independent risk factors for fragility fractures,” Kasher Meron told Fox News Digital. “This is a population that deserves special attention.”
A new study suggests older adults with Type 2 diabetes taking GLP-1 medications may face increased fracture risk. (iStock)
Fragility fractures are breaks from minor falls or routine activity, often linked to osteoporosis, and can lead to hospitalization, loss of independence and even increased mortality in older adults, Kasher Meron noted.
The study followed more than 46,000 adults 65 and older for nearly three years. After adjustments, GLP-1 users had a modest but statistically significant increase in fracture risk.
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Previous research in younger patients using older GLP-1s did not show increased fracture risk, but newer, more potent versions are now widely prescribed to older adults, Kasher Meron noted.
“In older adults treated with contemporary medications, the fracture risk picture looks different and warrants close attention,” she said.
Separate research found slightly higher rates of osteoporosis and gout among adults using GLP-1s. (iStock)
The study, however, was observational, meaning it shows an association but not causation. Researchers were unable to determine whether the risk was driven by weight loss, changes in diet, muscle loss or a direct effect on bone.
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Nonetheless, Kasher Meron says, “Bone health should be assessed before starting these medications in older patients — not as an afterthought.”
The findings come as separate research presented at the American Academy of Orthopaedic Surgeons’ annual meeting this month raised additional bone health concerns.
In an analysis of more than 146,000 adults with obesity and Type 2 diabetes, GLP-1 users were found to have a 29% higher relative risk of osteoporosis over five years compared to nonusers, according to reports.
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Rates of gout were also slightly higher, affecting 7.4% of GLP-1 users compared to 6.6% of nonusers — about a 12% relative increase.
Experts recommend bone density screening for older adults taking GLP-1 medications. (iStock)
Osteomalacia, a softening of the bones, was rare but occurred about twice as often in GLP-1 users, according to the study, which has not yet been peer reviewed. It was also observational, showing only an association. Fox News Digital has reached out to the researcher for comment.
Several mechanisms could be at play, experts say. GLP-1 medications suppress appetite and can lead to rapid weight loss. Significant weight loss is known to reduce bone density, partly because less mechanical load is placed on the skeleton.
“It’s the same idea as when we always hear about astronauts going up into space, and they’re in a gravity-zero environment for too long,” lead author Dr. John Horneff, an associate professor of orthopedic surgery at the University of Pennsylvania, told NBC News.
“There’s nothing forcing their bones to kind of hold their weight anymore. And a lot of those astronauts come back with low bone density.”
Additionally, eating fewer calories may also mean lower intake of calcium, vitamin D and protein, nutrients critical for bone strength.
GLP-1 medications like Ozempic and Wegovy are widely used to treat Type 2 diabetes and obesity. (iStock)
Rapid weight loss can also temporarily increase uric acid levels, a byproduct of tissue breakdown, which may explain the uptick in gout cases.
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Despite the findings, experts say the results should not discourage appropriate use of GLP-1 medications, which have proven benefits for blood sugar control, weight loss and cardiovascular risk reduction.
In addition to bone density screening, experts say patients should ensure adequate nutrition and resistance training to help preserve muscle and bone during weight loss.
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A spokesperson for Novo Nordisk, which manufactures GLP-1 medications, said the company prioritizes patient safety, works closely with the U.S. Food and Drug Administration (FDA) and welcomes independent research into its products.
Experts also recommend proper nutrition and resistance training to help preserve muscle and bone health during weight loss. (iStock)
The known risks and benefits of the drugs are reflected in the current FDA-approved labeling, Liz Skrbkova, head of U.S. media relations for Novo Nordisk, told Fox News Digital. She emphasized that semaglutide has demonstrated cardiovascular, kidney and liver benefits when used under medical supervision.
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“Osteoporosis is a complex condition that develops over many years as a result of interdependent risk factors,” Skrbkova added.
Fox News Digital’s Melissa Rudy contributed reporting.
Health
What’s healthier to drink: cold or hot water? Here’s what an expert says
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A viral wellness trend asks a simple question — is warm or cold water healthier? — but the science behind it is more nuanced.
Previous research shows that food and beverage temperature has a measurable effect on things like anxiety and gut discomfort.
One of the most long-standing health claims is that ice-cold water boosts calorie burn by forcing the body to heat it up. While this is grounded in science, the actual impact may be minimal.
Ultimately, experts say, the health impact of water temperature depends on the goal — weight loss, athletic performance, digestion or comfort.
Does cold water boost weight loss?
“As per research, in the 90 minutes after consuming cold or room temperature water, energy expenditure increases minimally by 2.9% (cold water) and 2.3% (room temperature),” Tanya Freirich, a registered dietitian and diabetes expert in North Carolina, told Fox News Digital.
Extra water may suppress the appetite or may play a part in energy production and expenditure, experts say. (iStock)
While the body does expend energy to warm up cold water, Freirich noted that it’s “not significant enough to make it worthwhile” for weight loss. Hot water doesn’t exactly melt fat, however, she added.
For those looking to lose or manage weight, Freirich suggests focusing on “how much” rather than “how cold.” She pointed to research involving overweight women who added an extra 1.5 liters of water to their daily intake. Over eight weeks, the participants saw measurable weight loss.
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“The extra water may suppress the appetite or may play a part in energy production and expenditure,” Freirich said. The temperature of drinking water should not affect how well the body utilizes nutrients, she added, noting that more research is needed.
For those exercising in heat and humidity, the goal should be to rehydrate without excessive fluid loss through sweat. Research on thermoregulation suggests there is an ideal water temperature for athletes.
The temperature of drinking water should not affect how well the body utilizes nutrients, according to an expert. (iStock)
While drinking water can trigger sweating as the body regulates its temperature, 60.8 degrees Fahrenheit was associated with the least amount of perspiration.
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“Cool, but not cold,” Freirich emphasized. Drinking water in this specific range helps the body rehydrate efficiently without causing gastrointestinal distress.
Warm water and digestion
There are several reasons someone might opt for warm water, including its effect on relaxation and digestion. Studies have found that warmer liquids can accelerate gastric emptying, effectively waking up the gut.
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The benefits may be mental as well. Freirich points to research showing that hot black tea leads to lower levels of cortisol — the body’s primary stress hormone — and greater subjective relaxation after stressful tasks.
The preference for warm water often stems from its effect on the rest and digestion. Studies have found that warmer liquids can accelerate gastric emptying, effectively waking up the gut. (iStock)
Medical triggers
Freirich warns that very cold water can cause difficulty for those with swallowing disorders, or can trigger migraines and “brain freeze” in people with sensitive nerves.
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Furthermore, those with irritable bowel syndrome (IBS) may find that ice-cold drinks trigger digestive discomfort.
Ultimately, the best temperature is the one that encourages people to drink, the dietitian said. The general recommendation for adults is to consume seven to eight glasses of water per day.
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“Most importantly, it is important for everyone to stay adequately hydrated,” Freirich said.
Health
Alarming report reveals what’s driving deadly cancer surge in young adults
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Top stories
→ Origin of deadly cancer affecting young adults revealed in alarming report
→ Scientists make startling discovery when examining prostate cancer tissue
→ Seniors over 80 who eat specific diet may be less likely to reach 100
Colorectal cancer rates are surging among younger adults, with those 65 and under now comprising 45% of new diagnoses compared to 27% in 1995. (iStock)
On the lookout
→ Brain aging may accelerate after cancer treatment
→ Ozempic-style drugs could slash complication risks after heart attacks
→ Aging process could accelerate due to ‘forever chemicals’ exposure
Weight-loss drugs may prevent deadly heart complications by opening blocked blood vessels after heart attacks, groundbreaking new research reveals. (iStock)
Conversation starters
→ Do collagen supplements really improve skin? Major review reveals the truth
→ ChatGPT could miss your serious medical emergency, study suggests
→ Diabetes surge could be driven by ‘healthy’ breakfasts, doctor warns
Medical advances
→ Diabetes breakthrough approach could protect cells and prevent disease
→ Decades-old seizure drug could have potential for Alzheimer’s prevention
Stat of the week
More than 59% of women are predicted to have high blood pressure by 2050.
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