Health
Trump Administration Ends Global Health Research Program
An obscure but influential program that gave detailed public health information to about half of the world’s nations will fold as a result of the Trump administration’s freeze on foreign aid.
With funding from the United States Agency for International Development, the Demographic and Health Surveys were the only sources of information in many countries about maternal and child health and mortality, nutrition, reproductive health and H.I.V. infections, among many other health indicators.
The surveys collected data in 90 low- and middle-income nations, which then used the information to set health benchmarks at the local, national and global levels, including the 2030 Sustainable Development Goals adopted by member countries of the United Nations.
On Tuesday, the program’s administrators learned that it was being “terminated for the convenience of the U.S. Government,” effective immediately, according to an email viewed by The New York Times. They were ordered to “stop all work, terminate subcontracts and place no further orders.”
The Trump administration is dismantling U.S.A.I.D.; thousands of layoffs are expected in the coming days. Without future surveys, it will be nearly impossible to measure the impact of those foreign aid cuts on citizens in nations without substantial health infrastructure.
Some global health experts reacted to the program’s demise with dismay.
“It’s really challenging for me to understand how you could implement thoughtful programs in public health and monitor progress toward strategic goals if you don’t have the kind of data that are available from the D.H.S.,” Win Brown, a demographer at the University of Washington, said.
“You can’t keep track of what’s going on, you can’t form strategies, you can’t make adjustments based on how your data are changing,” he added.
It was unclear what might happen to the research that has been collected over past decades, or to the ongoing survey projects in 25 countries. “We need to figure out a way to salvage that data, and I think that’s feasible,” Livia Montana, the program’s technical director, said.
The surveys have been conducted since 1984. The funding totaled about $500 million over five years, about half of which came from U.S.A.I.D. and half from other donors, including the nations themselves.
Some countries, like India, had almost entirely taken over the financing of their own surveys. The research is widely seen as indispensable.
“The impact of these disruptions will reverberate across local, regional, national and global levels,” a group of dozens of experts warned on Feb. 13.
Some United Nations organizations assess child and adolescent health or census data in some countries, while others measure household income or agricultural output.
But the Demographic and Health Surveys, collected every five years, recorded all critical aspects of household health, including mortality data, height and weight and nutrition status of children and adults, education and literacy, as well as access to clean water and mobile phones.
“Malnutrition indicators are among the most important,” because they can reflect a range of societal factors, Dr. Montana said. The surveys also separately evaluated malaria indicators and health facilities.
Estimates of maternal and child mortality are crucially important in countries that do not have good death registration systems. The surveys also measured family size, which can indicate the availability of family planning but also reflect broader societal factors, including access to education for girls.
Dr. Brown has used the surveys, for example, to compare contraceptive use among women in countries like Egypt, Pakistan and India over decades. “In a survey like D.H.S., you’re on the ground talking to real people, on the stoop of their real houses in real communities,” he said.
Like other projects funded with foreign aid, the program was under a stop-work order before the termination. All but 11 of its staff of 80 were placed on leave without pay, and its relationships with contractors ended a few weeks ago.
Informed of the halt, some national governments expressed concern and empathy, and several asked if they could pay to finish the work. Others took it in stride, Dr. Montana said.
“It’s sort of like they have experienced more of this kind of thing where political winds change right away,” she said.
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“Clavicular,” the controversial “looksmaxxing” influencer, was reportedly hospitalized due to a suspected overdose Tuesday night during a livestream.
The Miami content creator, 20, posted a photo of his bloody face and commented on X Wednesday.
“Just got home, that was brutal. All of the substances are just [to] cope, trying to feel neurotypical while being in public, but obviously, that isn’t a real solution. The worst part of tonight was my face descending from the life support mask.”
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The influencer, whose real name is Braden Peters, was hospitalized after his livestream was cut short when he began slurring his words and repeating phrases, according to reports.
What is ‘looksmaxxing’ and why is it trending?
Looksmaxxing is a social media trend focused on enhancing appearance, ranging from basic skin care to extreme practices like hitting cheekbones with hammers to alter facial structure.
Looksmaxxing is a social media trend focused on enhancing appearance, ranging from basic skin care to extreme practices like hitting cheekbones with hammers to alter facial structure. (iStock)
The potentially dangerous trend has been popular with young males, plastic surgeons told Fox News Digital.
“In my practice, we’ve seen it primarily in young men in their 20s,” Dr. Josef Hadeed, a plastic surgeon in Beverly Hills, California, told Fox News Digital. “We have had a few women, but I’d say by and large, it’s been mostly men who have come into our office wanting these various looksmaxxing procedures.”
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“Patients are increasingly seeking to align how they look with how they feel,” he said. “The difference today is that the tools and technologies available to achieve that have never been more advanced or more accessible.”
Looksmaxxing can be divided into two categories: “softmaxxing” and “hardmaxxing,” according to Hadeed. Softmaxxing is a more simple, non-invasive approach to improving one’s looks.
The potentially dangerous trend has been popular with young males, plastic surgeons told Fox News Digital. (iStock)
“It’s really like self-care or grooming – things like going to the gym on a regular basis to try to improve your body composition, or using various skincare products to try to improve your skin texture,” the surgeon said.
Softmaxxing techniques – which can also include teeth whitening, beard grooming, or upgrading a wardrobe or hairstyle – are not usually a problem, according to Hadeed. Hardmaxxing, which involves more extreme measures, can have riskier consequences.
“Even minimally invasive treatments carry real risks if performed incorrectly or by an untrained provider.”
Some individuals in the looksmaxxing online community do things like “bone smashing,” Hadeed said.
“[It’s] literally what it sounds like, where you smash the bones to change the facial structure, and that is obviously not recommended because it can lead to potential complications,” he warned.
“Once you cross that line and start getting into more extreme things, I feel like that’s where most plastic surgeons should draw the line.”
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Dr. C. Bob Basu, president of the American Society of Plastic Surgeons, said the biggest safety risks with the looksmaxxing trend come from pursuing treatments without proper medical guidance.
Looksmaxxing can be divided into two categories: “softmaxxing” and “hardmaxxing.” Softmaxxing is a more simple, non-invasive simple approach to improving one’s looks. (iStock)
“Social media can make procedures seem easy or risk-free, but even minimally invasive treatments carry real risks if performed incorrectly or by an untrained provider,” the Houston-based plastic surgeon told Fox News Digital.
To achieve quality results, it is critical to be treated by a board-certified plastic surgeon who understands both safety and anatomy, Basu advised.
What’s driving the trend?
The convergence of social media, constant digital visibility and “unprecedented access to aesthetic treatments” – along with a cultural shift toward optimizing wellness and longevity – are fueling the looksmaxxing trend, according to Basu.
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Hadeed agreed, noting that social media puts pressure on individuals to look perfect.
“People are constantly comparing themselves to other people online,” he told Fox News Digital. “It can quickly develop into body dysmorphia for a lot of people, and that’s when they start pursuing more and more procedures that they don’t need by any stretch – it’s kind of like keeping up with the Joneses.”
Both plastic surgeons emphasized the importance of taking a responsible approach when considering the looksmaxxing trend. (iStock)
Dr. Nancy Frye, a professor in the psychology department at Long Island University in Brookville, New York, also weighed in on what’s driving the looksmaxxing craze.
“We figure out how attractive we might be by comparing what we see in ourselves to what we see in others,” she told Fox News Digital. “This social comparison is especially problematic with social media and filters, as people compare themselves to filtered versions of others.”
Healthier approach
While experts warn of the risks of looksmaxxing, they say a thoughtful approach can have some benefits, including pride in one’s appearance and health.
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The most tangible benefits are associated with the softmaxxing approach, which includes following a fitness routine, eating a clean diet and following regular skin care routines, according to Hadeed.
“The goal should always be thoughtful self-improvement, not perfection.”
With healthy guidance, aesthetic care can “enhance confidence and self-esteem, helping patients feel more aligned with their sense of self,” Basu added.
Both plastic surgeons emphasized the importance of taking a responsible approach when considering the looksmaxxing trend.
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“The goal should always be thoughtful self-improvement, not perfection,” Basu said. “It should never be about looking like someone else or a filtered version of yourself, but rather about becoming a confident, natural and authentic version of you.”
Anyone considering this trend should consult a licensed healthcare professional rather than relying on advice from social media influencers, the doctors advised.
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