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Trump and Musk Bring Vast Aid Machinery to a Halt in Africa

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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.

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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.

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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.”

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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.

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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.

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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.

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Cancer survivors may see surprising benefits from one specific exercise, study says

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Cancer survivors may see surprising benefits from one specific exercise, study says

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For many, surviving cancer comes with an automatic new lease on life but other survivors continue to experience physical and emotional challenges long after treatment ends.

Yoga may significantly reduce the insomnia, fatigue and mood disturbances many survivors endure after remission, a recent clinical trial found.

Mood disturbance and insomnia are “two of the most pervasive and troubling side effects experienced by cancer survivors for years after completing adjuvant treatments,” the researchers reported in the Journal of Clinical Oncology.

SIMPLE DAILY HABIT MAY HELP EASE DEPRESSION MORE THAN MEDICATION, RESEARCHERS SAY

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They noted that both symptoms can substantially inhibit survivors’ ability to perform everyday activities.

The study, funded by the National Cancer Institute, compared 204 cancer survivors receiving standard survivorship care alone with 206 survivors who paired standard care with the Yoga for Cancer Survivors (YOCAS) program. Most of the participants were female breast-cancer survivors.

A clinical trial showed that yoga may help ease symptoms cancer survivors experience after treatments. (iStock)

YOCAS is a four-week intervention that incorporates two types of yoga – hatha, which is traditional and more active, and restorative, which is more passive. Both forms involve slow, gentle movements, breathing exercises and mindfulness, according to the American Society of Clinical Oncology (ASCO), which published a news release on the study’s findings.

Participants in the YOCAS group practiced yoga, on average, for 180 minutes each week over the course of three sessions.

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At the end of the trial, the YOCAS participants reported overall improvements to mood, anxiety and fatigue, while the standard care group did not.

“Additionally, improvements in insomnia stemming from YOCAS yoga may be mediated by changes in overall [mood disturbance] and fatigue,” the researchers wrote.

“[The study is] an important advance because it offers survivors, who are likely already managing multiple medications, a non-pharmaceutical solution for reducing four different side effects at once,” Fumiko Chino, MD, a cancer researcher and associate professor in breast radiation oncology at MD Anderson Cancer Center, told ASCO.

Cancer survivors often continue to struggle with physical and mental-health challenges after the disease has been successfully treated. (iStock)

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Timothy Pearman, Ph.D., director of supportive oncology at the Robert H. Lurie Comprehensive Cancer Center of Northwestern University, told Fox News Digital he was not surprised by the results of the study.

“Yoga is one of the most widely studied and validated interventions for managing cancer-related fatigue, mood disturbance and overall physical health,” Pearman said.

Pearman said his wife, Jenny Finkel, is a yoga teacher and received her continuing education at Duke University’s integrative medicine program, which focuses on yoga for cancer patients. 

“There are now a number of cancer-specific yoga teacher training programs nationwide,” Pearman said. “Yoga is a wonderful thing because it is very modifiable, meaning that even for people who have significant physical impairment, the exercises can be modified so that anyone can participate.”

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He added that yoga is affordable, too, because “all you need is a mat and someone to show you how to do it.”

Osteoporosis, an increased risk of cardiac problems and issues with balance and stamina are other physical symptoms related to cancer treatment that yoga can help mitigate, Pearman said.

Cancer survivors who took part in an average of three yoga classes a week for four weeks reported reduced anxiety and fatigue, according to a recent study. (iStock)

Shari Botwin, a licensed clinical social worker based in Pennsylvania, is a thyroid-cancer survivor who specializes in working with victims of trauma, including cancer. She turned to yoga months after her diagnosis and told Fox News Digital the practice has been “transformative.”

According to Botwin, cancer survivors she’s worked with have dealt with emotional challenges that affect their healing process, including depression and survivor’s guilt. In addition to the physical relief yoga can provide, she said it can also offer “a supportive environment of peers, some of which are cancer thrivers.”

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Botwin added that yoga can help survivors who have lost parts of their body reframe their thinking.

“It supports us into moving into a place of self-compassion rather than shame and self-hatred,” she said.

Yoga can help cancer survivors who struggle with guilt or shame to find a community of understanding peers, according to some experts. (iStock)

Almost any type of exercise can be beneficial for cancer survivors, Pearman said. He advises his patients to stick to the type of exercise they enjoyed prior to cancer.

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He also noted that free yoga classes geared toward cancer survivors are widely available through various non-profit organizations.

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What to do if someone is having a stroke, after Jill Biden revealed debate-night fears

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What to do if someone is having a stroke, after Jill Biden revealed debate-night fears

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Former first lady Jill Biden has expressed her concerns about former President Joe Biden’s health status, noting that she feared he was having a stroke during a 2024 debate against President Donald Trump.

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Biden struggled his way through the performance, with long periods of silence, confused facial expressions and stammered speech. In a recent interview with CBS, Jill Biden commented that she was “frightened.”

“I don’t know what happened,” she said. “I mean, when I watched it, I thought, ‘Oh my God, he’s having a stroke,’ and it scared me to death.”

JILL BIDEN SAYS SHE THOUGHT JOE WAS HAVING A STROKE DURING HIS DISASTROUS 2024 DEBATE PERFORMANCE

A stroke occurs when there is bleeding in the brain or when blood flow to the brain is blocked, according to Mayo Clinic.

Identifying a stroke may be difficult, as symptoms can vary. 

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Stroke symptoms can include balance loss, weakness, slurred speech, face drooping, confusion and severe headaches. (iStock)

The American Stroke Association (ASA) identifies the following key warning signs, using the acronym “B.E. F.A.S.T.”

  • B – Balance loss
  • E – Eye (vision) changes
  • F – Face drooping
  • A – Arm weakness
  • S – Speech difficulty
  • T – Time to call 911

In a situation in which someone could be having a stroke, “the only” thing to do is to call 911, Fox News senior medical analyst Dr. Marc Siegel told Fox News Digital.

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The doctor emphasized other symptoms to watch for, including weakness on one side, slurred speech, difficulty processing information and confusion. 

The ASA also warns that severe headaches can also be a sign of stroke.

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At the first sign of stroke, 911 should be contacted immediately, as 1.9 million brain cells die every minute that a stroke goes untreated. (iStock)

Siegel advised against giving the person an aspirin, as it could worsen bleeding in the brain if that is the cause of stroke. 

With an ischemic stroke, that type of medication could be helpful.

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The ASA says 1.9 million brain cells die every minute that a stroke goes untreated, which means earlier treatment leads to higher survival rates and lower risk of disability.

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“In medicine, we use the term ‘time is brain,’” Siegel said. “This means that the faster you bring the patient to the emergency room, the faster they can receive emergency treatment if indicated to reopen the blocked artery in the brain, if there is one.”

Brain imaging should be done within the first several hours after seeking medical attention for a stroke, according to a top physician.  (iStock)

Brain imaging can also be done on arrival at the ER, which should occur within the first several hours, Siegel said.

Anyone who is experiencing a stroke should not drive themselves to the hospital, according to the CDC. Instead, the person should get a ride or call 911 — as treatment begins inside the ambulance.

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About 80% of strokes are preventable, the American Heart Association states. 

Prevention includes managing high blood pressure, diabetes, atrial fibrillation and other risk factors.

One in four survivors have another stroke within the next five years, per CDC data, so those at higher risk should prepare a prevention and treatment plan.

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Fox News Digital’s Alexander Hall contributed to this report.

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Controversial drug delivered rapid relief for severe depression in just hours

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Controversial drug delivered rapid relief for severe depression in just hours

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Top stories

→ Single infusion of controversial drug changed severe depression symptoms within hours

→ What to know about thyroid cancer prognosis following Pam Bondi’s diagnosis

→ Tick bite ER visits are spiking as doctors warn of disease surge

Approximately 71 per 100,000 ER visits were tick-related in April, more than double the historical average. (iStock)

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Health in the kitchen

→ Popular fruit may help protect your skin from the sun, new study suggests

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“The changes in gene expression [from eating grapes] indicated improvements in skin health,” one researcher said. (iStock)

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Conversation starters

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