Health
Health Programs Shutter Around the World After Trump Pauses Foreign Aid
Lifesaving health initiatives and medical research projects have shut down around the world in response to the Trump administration’s 90-day pause on foreign aid and stop-work orders.
In Uganda, the National Malaria Control Program has suspended spraying insecticide into village homes and ceased shipments of bed nets for distribution to pregnant women and young children, said Dr. Jimmy Opigo, the program’s director.
Medical supplies, including drugs to stop hemorrhages in pregnant women and rehydration salts that treat life-threatening diarrhea in toddlers, cannot reach villages in Zambia because the trucking companies transporting them were paid through a suspended supply project of the United States Agency for International Development, U.S.A.I.D.
Dozens of clinical trials in South Asia, Africa and Latin America have been suspended. Thousands of people enrolled in the studies have drugs, vaccines and medical devices in their bodies but no longer have access to continuing treatment or to the researchers who were supervising their care.
In interviews, more than 20 researchers and program managers described the upheaval in health systems in countries across the developing world. Most agreed to be interviewed on the condition that their names not be published, fearing that speaking to a reporter would jeopardize any possibility that their projects might be able to reopen.
Many of those interviewed broke down in tears as they described the rapid destruction of decades of work.
The programs that have frozen or folded over the past six days supported frontline care for infectious disease, providing treatments and preventive measures that help avert millions of deaths from AIDS, tuberculosis, malaria and other diseases. They also presented a compassionate, generous image of the United States in countries where China has increasingly competed for influence.
The State Department and U.S.A.I.D. did not respond to requests for comment.
There will now be no one to take custody of millions of dollars’ worth of supplies for vital oxygen systems, purchased for programs funded by U.S.A.I.D. that support health clinics in some of the world’s poorest countries. The shipments, now in transit, are scheduled to reach ports in the coming days, but employees of those programs have been ordered to stop work.
On Tuesday night, Secretary of State Marco Rubio issued an exemption to the funding freeze for “lifesaving humanitarian assistance,” including what a State Department memo called “core lifesaving medicine.” However, shuttered H.I.V. and tuberculosis treatment programs have been told by their contacts at U.S.A.I.D. that they cannot resume work until they receive written instruction that the waiver applies specifically to them.
Also on Tuesday, a federal judge blocked the freeze until Feb. 3. But in practice, most U.S.A.I.D. country offices and programs are proceeding as if the freeze remains in place.
They have been unable to obtain clarification on whether and when their work can continue because their assigned contacts at U.S.A.I.D. have either been fired or furloughed, or are under strict instructions to not talk to anyone.
Despite the court order, thousands of people have already lost their jobs as a result of the freeze. About 500 U.S.-based employees of U.S.A.I.D. were fired. In countries from India to Zimbabwe, staff members for health projects were immediately fired. An organization called the International Centre for Diarrhoeal Disease Research, Bangladesh, which does research on a top killer of children, laid off more than 1,000 employees this week.
If the waiver announced by Mr. Rubio does not apply to their work — as is likely because it is expected to exempt only a narrow scope of activities — many nonprofit groups will not have enough funds to pay their employees or maintain supplies. Already, organizations that rely on U.S.A.I.D. funds have not been able access any money, even for reimbursement of expenses already incurred.
Two-thirds of the staff of the President’s Malaria Initiative, an organization founded by former President George W. Bush that is the largest donor to anti-malaria programs and research worldwide, have been fired. Those employees were contract staff members, because the agency had longtime hiring freezes for permanent positions, and included some of the most senior and respected scientists working on malaria control in the world.
While the interruption of H.I.V. treatment has prompted an outcry, the suspension of malaria work also immediately jeopardizes lives, said a scientist who was a senior staff member at the President’s Malaria Initiative for a decade and was fired on Tuesday.
Malaria interventions in Africa are carefully planned around rainy seasons, the time of which varies by region. Houses are sprayed with insecticide, and children are treated with an antimalarial medication during peak malaria transmission times.
“You could open the funding floodgates again tomorrow and you will still have children dying months from now because of this pause,” the scientist said.
More than 50 million children received preventative drugs before the rainy season last year.
The delivery of rapid tests and malaria drugs into Myanmar, where cases of malaria increased nearly tenfold to 850,000 in 2023 (the most recent figures available) from 78,000 in 2019, has been frozen. Some organizations now have no workers left to distribute the supplies even if they were to arrive.
In some parts of the country, more than 40 percent of cases are of a type of malaria that is often deadly in children under the age of 5. Malaria drugs would seem to qualify under the stipulation of “lifesaving humanitarian assistance, including essential medicines” included in the waiver, but in the absence of certainty, no one has been bold enough to try to free the drugs now stuck at the Thai border.
Some 2.4 million anti-malaria bed nets are sitting in production facilities in Asia, manufactured to fulfill U.S.-funded orders and bound for countries across sub-Saharan Africa. Those contracts are now frozen, because the U.S.A.I.D. subcontractor that bought them is not allowed to talk to the manufacturer under the terms of the freeze. Contracts for eight million more nets are now in limbo, an executive with the manufacturer said.
U.S.A.I.D.’s largest project is called the global health supply chain, an effort to streamline procurement of supplies for H.I.V., malaria, maternal health and other key areas, to make the system more efficient and save money. It operates in more than 55 countries where, in many cases, it supplies the bulk of key medicines. Now its global web of staff has been ordered to stop work except for essential tasks, like guarding commodities in warehouses.
In Zambia, U.S.A.I.D. supports the bulk distribution of public health products, using the private trucking industry to move medicines from a central supply depot to seven regional hubs, from which they are taken by truck, motorbike and boat to rural health centers. It’s part of the extensive U.S. support of the health system in Zambia, one of the world’s poorest countries, and over time it has been working to build up the supply chain capacity of the government.
Since the stop-work order was issued last Saturday, all of the vehicles transporting health products have been stopped. “They have effectively paralyzed the Zambian public health sector by pulling out so abruptly,” said one consultant who worked with the program. Similar U.S.-funded systems, now frozen, also moved a major share of basic medical supplies in Mozambique, Nigeria, Malawi and Haiti.
In East Africa, medical researchers working on projects to find ways to stop transmission of H.I.V. and develop more effective contraception have found themselves floundering for explanations to give to participants in their clinical trials.
“We have women testing vaginal rings, they already have the rings in them, people who got an injectable for H.I.V. prevention — when you say ‘stop,’ what happens to them?” said an H.I.V. researcher who is an investigator on a number of clinical trials. “We have an ethical obligation to people who volunteer for trials.”
Apoorva Mandavilli contributed reporting.
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The Great American State Fair was postponed Saturday after multiple people reportedly fainted the day before, forcing thousands of visitors to pivot during celebrations for America’s 250th anniversary.
Friday’s medical emergencies required onsite attention as crowds flocked to the nation’s capital for Independence Day.
The fair reopened later Friday evening but was postponed again Saturday.
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Fox News Digital asked attendees what it took to get to the capital and what they made of the closure.
“We are so blessed to live in the best country in the world,” Whitney Thomas, a mother from North Carolina who traveled with her family for the Great American State Fair, told Fox News Digital Friday.
An arch across the street from a 110-foot “Freedom 250” Ferris wheel during final preparations for the Great American State Fair on the National Mall June 22, 2026 in Washington, D.C. (Al Drago for The Washington Post via Getty Images)
Despite the weather closure, she said her family was able to enjoy the State Fair Thursday evening and planned to wait out the heat in nearby museums until the fair reopened.
“I wanted my kids, who are 9 and 10, to be able to experience this with us,” she said.
“You cannot tell me that America was won by shutting things down when it gets hot.”
Brad Shultis, a retired Marine who traveled from Stafford, Virginia, expressed frustration over the decision to halt festivities.
“You cannot tell me that America was won by shutting things down when it gets hot,” he told Fox News Digital.
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“It gets hot, and we shut it down because it’s hot? Who cares? If it’s too hot, stay home.”
Shultis noted that he drove to Springfield and took the Metro just to be turned away right after buying lunch. He questioned the decision to shut down the celebration of America’s 250th anniversary, arguing that if people find the weather too hot, they should simply stay home or seek medical help rather than forcing a mass evacuation for those who spent time and money to get there.
Whitney Thomas brought her children with her from North Carolina to Washington to experience the historic event as a family. (Fox News Digital)
Wendy Lamb, who traveled eight hours from Connecticut with her family to support the state’s booth, noted that organizers were likely worried about the intense conditions and simply did not want visitors to suffer.
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While disappointed that her home state did not send official representation due to budget issues, Lamb and her fellow travelers refused to let the heat ruin their first trip to Washington, D.C.
“We’ve had a really, really fun time so far,” added John, another member of the group.
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He said they plan to navigate the heat by moving from museum to museum and using the Metro system to stay cool until the gates reopen.
For these visitors, the setback was minor compared to the emotional weight of seeing the U.S. Capitol and the Rotunda.
Judy drove with her family from Connecticut to support the state after officials withdrew support prior to the fair opening. (Fox News Digital)
“I mean, we are so fortunate we are free, and yet we have people out there that hate our country. … it’s very emotional,” said Pat Lamb, who fanned her face to stop tears welling in her eyes as she described the pride she felt for the nation.
The decision to close the fairgrounds aligns with severe weather protocols designed to prevent mass casualty medical events.
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According to the Centers for Disease Control and Prevention, extreme heat can quickly impair the body’s ability to cool itself, causing internal temperatures to rise faster than they can dissipate.
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When exposure to extreme conditions triggers a heat-related illness, symptoms can escalate rapidly from heat exhaustion — marked by heavy sweating, dizziness, nausea and fainting — to a life-threatening medical emergency, according to the CDC.
Brad Shultis, a veteran, was turned away just after lunch due to extreme heat at The Great American State Fair. (Fox News Digital)
The most severe risk is heat stroke, which occurs when the body’s cooling mechanism fails entirely, potentially driving core body temperatures to 103 degrees Fahrenheit or higher within minutes.
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To prevent severe complications like permanent organ damage or death, the CDC advises that anyone exhibiting warning signs such as confusion, slurred speech or a loss of consciousness should receive immediate medical treatment.
Public health officials urge individuals in high-heat environments to seek shade, stay heavily hydrated and identify air-conditioned cooling centers.
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Many of the American colonists’ eating habits have made a comeback in recent years. They ate minimally processed, locally sourced whole foods and regularly incorporated organ meats into their meals.
Livestock and many Old World crops had already been introduced to North America by European explorers and settlers during the centuries before the nation’s founding.
Early settlers adapted European cooking traditions using ingredients available in North America, the Center for the Study of the Presidency and Congress (CSPC) reported.
Indigenous peoples introduced corn to the colonists, and it became a core ingredient in many of their recipes. Beans, squash, and potatoes were among the other crops that became incorporated into colonial cooking, according to the CSPC.
“Cornmeal appeared in dishes such as hasty pudding — a thick porridge similar to polenta — and johnnycakes, simple griddle cakes that were popular from New England to the South,” History Facts reported.
Cornmeal Johnnycakes, roast pork and cream cheese are distinctly early-American foods the CSPC has recipes for on its website.
Corn became a staple of early colonists’ diets after Indigenous peoples introduced the crop to the settlers and taught them how to cultivate it. (iStock)
Regional customs and crops greatly influenced what the colonists ate. Rice and okra grew well and were plentiful in the South, where French and African influences also shaped eating habits.
Dutch, English and German immigrants largely settled in the north and established the region’s culinary traditions.
Seafood such as rockfish and crab dominated the diets of early Maryland settlers, NPR reported.
Meat was a status symbol, local food historian Joyce White told the publication. Beef was prized, and chicken was often saved for egg production.
“If it’s your pig or cow coming from your plantation, you don’t want to waste it,” White said.
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Thomas Jefferson was known for his decadent tastes and a fondness for French wine and macaroni and cheese. Records show that black-eyed peas, turnip greens and ham were also part of the Founding Father’s diet.
Salted and preserved fish and meats, including bacon, sausage, liver pudding and offal, were staples of working-class people’s diets, while the upper classes indulged in such luxuries as white flour and sugar.
Interest in these traditional foods has resurfaced in recent years as some Americans seek diets centered on whole, minimally processed ingredients.
Founding Father Thomas Jefferson was known for his continental tastes and enjoyed French wine and macaroni and cheese. (iStock)
Advocates of the Make America Healthy Again movement, for instance, have promoted organ meats, or offal, as some of the cheapest and most nutrient-dense foods people can eat.
Stews that evolved as ingredients became available were also common an America’s early days.
The amount of alcohol the colonists consumed was “staggering,” Adrian Miller, author of “The President’s Kitchen Cabinet,” told NPR.
“They were very open about how much they were drinking,” he said.
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George Washington wrote a recipe for “small beer” in a journal he kept as a young colonel in charge of the Virginia militia during the Seven Years’ War, Fox News Digital previously reported. The New York Public Library houses the journal.
“Small beer,” according to the library, derives its name from the small amount of alcohol it contains. It was quick to make, safer to drink because the brewing process helped eliminate bacteria in the water — and it was an “everyday, mainstay beverage,” the library reported.
“While the 1776 Diet has some positives — such as emphasizing whole foods, home cooking and fewer ultra-processed foods — it’s not one I’d recommend following too literally,” registered dietician Lisa R. Young, adjunct professor of nutrition at New York University, told Fox News Digital.
Working-class colonists would often save chickens for their eggs, rather than consuming their meat. (iStock)
“Colonial Americans often ate foods like salted ham, organ meats and other preserved meats out of necessity,” she said. “Today, we know it’s best to limit processed and cured meats because they’re high in sodium and saturated fat, and organ meats, while nutrient-dense, are best eaten in moderation due to their high cholesterol content.”
Focus on the healthiest aspects of the 1776 diet, Young recommended. That includes plenty of fruits and vegetables, beans, whole grains, fish and lean proteins.
“Of course, you can emulate the Founding Fathers’ diet for the week of the 250th anniversary,” she said. “What you eat for a day or a week won’t matter much in the scheme of things.”
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Some of the Founding Fathers drank a lot of ale, often in the morning, Young noted.
“We shouldn’t emulate that,” she said.
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Fireworks have been a quintessential part of Fourth of July celebrations across the nation for generations.
But as Independence Day festivities light up the night sky, the colorful displays can also pose serious health risks — especially to the lungs.
Nearly 300 million pounds of fireworks are released into the atmosphere each year in the U.S., according to the American Lung Association. This creates smoke filled with tiny particles, as well as gases like sulfur dioxide, carbon dioxide and carbon monoxide, which are “very harmful to our lungs.”
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The smoke from fireworks can also release harmful metals, like aluminum, manganese and cadmium, into the air.
Some illegal fireworks may contain lead, which the association describes as “extremely dangerous” due to its potential to cause lasting health damage.
Attendees watch the Independence Day fireworks display along the National Mall in Washington, D.C. (Probal Rashid/LightRocket via Getty Images)
“Inhaling any of these chemicals can irritate the lungs, making it hard to breathe and causing serious health problems, which is why it is important to avoid firework smoke whenever possible,” the group said in a public advisory.
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Air pollution levels increase by an average of 42% on the Fourth of July, according to a 2015 study.
Smoke from fireworks can worsen symptoms and cause flare-ups in those who have asthma or chronic obstructive pulmonary disease (COPD).
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Fine particle pollution has also been linked to more serious health consequences, including heart attacks, stroke, lung cancer and premature death, according to the American Lung Association.
The organization warned that children, older adults and pregnant women, as well as people with lung and heart disease, are especially vulnerable.
Smoke from fireworks can worsen symptoms and cause flare-ups in those who have asthma or chronic obstructive pulmonary disease. (iStock)
Dr. Afif El-Hasan, member of the Lung Association’s board of directors, shared some advice for high-risk fireworks spectators in an interview with Fox News Digital.
Instead of using fireworks at home, El-Hasan recommends watching them from a distance.
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People with asthma who use a rescue inhaler should keep it close at hand in case fireworks trigger wheezing or other symptoms, the expert advised. Wearing a well-fitting N95 mask can also help reduce exposure to fine particles from fireworks smoke and debris.
“If you are familiar with the area and the wind patterns, try to be upwind from the fireworks display and avoid areas where smoke may accumulate,” he said.
An expert recommends watching fireworks from a distance to avoid exposure to air pollution. (iStock)
The expert also recommends attending fireworks events with friends or family, so someone is available to help if a medical emergency arises.
“Make sure you have taken all of your preventative medication before a fireworks show,” El-Hasan advised. “If possible, take a car to the fireworks display. Try to park as close as possible to the event in case you have to get to the car quickly.”
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The expert also recommends drinking water immediately after the show to clear the upper airway. Changing and washing clothes upon returning home can also help to prevent smoke particles from accumulating in the home.
If case of shortness of breath or chest pain, it’s important to seek medical care immediately.
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