Rising anger over ‘lop-sided’ and ‘immoral’ US health funding pacts with African countries

Zimbabwe refuses to sign agreement and Kenya faces a court case over data sharing as new aid deals come under scrutiny

A series of bilateral health agreements being negotiated between African countries and the administration of President Donald Trump have been labelled “clearly lop-sided” and “immoral” amid growing outrage at US demands, including countries being forced to share biological resources and data.

It emerged this week that Zimbabwe had halted negotiations with the US for $350m (£258m) of health funding, saying the proposals risked undermining its sovereignty and independence.

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Aid cuts have shaken HIV/Aids care to its core – and will mean millions more infections ahead

Reports highlight devastating impact of slashed funding, especially in parts of Africa, that could lead to 3.3m new HIV infections by 2030

In Mozambique, a teenage rape victim sought care at a health clinic only to find it closed. In Zimbabwe, Aids-related deaths have risen for the first time in five years. In Ethiopia and the Democratic Republic of the Congo (DRC), patients with suspected HIV went undiagnosed due to test-kit stocks running out.

Stories of the devastating impact of US, British and wider European aid cuts on the fight against HIV – particularly in sub-Saharan Africa – continue to mount as 2025 comes to an end, and are set out in a series of reports released in the past week.

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US will no longer commemorate World Aids Day, reports say

State department has told employees and grant recipients to not publicly promote or make event on 1 December

For the first time since 1988, the US government will no longer commemorate World Aids Day, according to reports.

The state department has directed its employees and grant recipients not to use US government funds to mark the event – which falls annually on 1 December – and not to promote the day publicly. The news was first reported by the journalist Emily Bass and confirmed in an email viewed by the New York Times.

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UK warned that 15% cut to health fund will force ‘impossible choices’ on Africa

Advocates fear that other donors will follow Britain’s reduction to the Global Fund for Aids, TB and malaria

The UK is undermining its legacy in fighting infectious diseases including Aids and malaria by cutting money pledged to a leading global health fund, campaigners claim.

The 15% reduction in the contribution to the Global Fund for Aids, Tuberculosis and Malaria announced this week – in a year when the UK, alongside South Africa, is co-host of the fund’s replenishment drive – risks encouraging other countries to cut back commitments as well, advocates fear.

The Gates Foundation is a major private contributor to the Global Fund. The foundation also contributes to theguardian.org, which funds independent journalism at the Guardian

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Cutting aid for disease fund would be moral failure, Labour MPs tell Starmer

UK expected to reduce contribution to Global Fund to Fight Aids, Tuberculosis and Malaria by 20%

A group of seven Labour MPs who served as ministers under Keir Starmer have written to the prime minister warning that an expected cut to UK funding for aid to combat preventable diseases would be both a “moral failure” and a strategic disaster.

With ministers and officials expected to decide the UK’s contribution to the Global Fund to Fight Aids, Tuberculosis and Malaria within days, the letter renews pressure on Starmer to pull back from an expected 20% cut.

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Trump’s aid cuts in east Africa led to unwanted abortion and babies being born with HIV – report

Doctors, nurses, patients and other experts describe the loss of decades of progress in beating the virus in 100 days after Pepfar was disrupted

Aid cuts in east Africa have led to cases of babies being born with HIV because mothers could not get medication, a rise in life-threatening infections, and at least one woman having an unwanted abortion, according to interviews with medical staff, patients and experts.

A report by Physicians for Human Rights (PHR) sets out dozens of examples of the impact of disruption to Pepfar – the president’s emergency plan for aids relief – in Tanzania and Uganda.

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Botswana’s president declares health emergency over supply shortages

Duma Boko announces urgent funding package for medicines to be distributed with military oversight

Botswana’s president has declared a public health emergency due to shortages of essential medicines and equipment, as a downturn in the global diamond market and US aid cuts take a toll on the country’s finances.

The announcement came after the Ministry of Health suspended non-urgent surgeries on 4 August, stating that the country was short of medicines to treat hypertension, diabetes, cancer, asthma and eye conditions, as well as supplies including bandages and sutures and those for sexual and reproductive health.

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Prince Harry considers founding new charity after Sentebale dispute

Duke of Sussex ‘absolutely committed’ to supporting children and young people in Lesotho and Botswana

Prince Harry is considering establishing a new charity after a dispute that led to him leaving Sentebale, a spokesperson has said.

It comes after the Duke of Sussex was criticised by the Charity Commission for allowing a row with the chair of Sentebale, which he co-founded in 2006, to “play out publicly”.

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High-risk HIV groups facing record levels of criminalisation as countries bring in draconian laws

Curbs on LGBTQ+ rights and a halt to US funding may reverse decades of progress in fight to end Aids epidemic, warns UNAids

People at higher risk of HIV, such as gay men and people who inject drugs, are facing record levels of criminalisation worldwide, according to UNAids.

For the first time since the joint UN programme on HIV/Aids began reporting on punitive laws a decade ago, the number of countries criminalising same-sex sexual activity and gender expression has increased.

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Malawi battles mpox as cases of the infectious disease surge in Africa

Medicine shortages plus limited testing and hospital capacity exacerbated by withdrawal of USAID as outbreak gathers pace across countries in the region

Malawi’s ministry of health has announced three new cases of mpox in the capital, Lilongwe, bringing the number of confirmed cases to 11 since the country’s first was reported in April.

Malawi is one of 16 countries in Africa reporting mpox outbreaks as health officials battle with vaccine shortages as well as limited testing and hospital capacity.

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Brisbane Greens MP joins OnlyFans to ‘make people pay attention’ to HIV prevention drug policy

Exclusive: Stephen Bates spruiks free PrEP and PEP proposal on subscription platform best known for adult content, as well as on dating app Grindr

The Greens MP Stephen Bates has joined OnlyFans – a first for an Australian politician – as the party pushes to make the HIV prevention drugs PrEP and PEP free.

It may normally be a career-ending move for a politician to be joining a site known for pornography, but Bates has joined the site with the first video on his free-to-subscribe page announcing the Greens’ push to make PrEP and PEP prescriptions free to anyone with a script.

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Donors quit Prince Harry’s charity when he left UK, says Sentebale chair

Sophie Chandauka claims there is ‘significant correlation’ with drop in funders and prince’s move to the US

Donors abandoned the charity Prince Harry founded in memory of his late mother when he left the UK, the chair of Sentebale has said amid a bitter media row in which she accused the prince of trying to “eject” her through “bullying” and “harassment”.

Sophie Chandauka told Sky News’s Sunday Morning With Trevor Phillips programme that there was a “significant correlation” between a drop in funders and the Duke of Sussex’s departure to the US after the controversy caused by his rift with the royal family.

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Prince Harry accused of bullying ‘at scale’ by chair of charity he founded

Sophie Chandauka says duke unleashed ‘Sussex machine’ but source close to ex-trustees claims accusation baseless

The chair of a charity set up by Prince Harry has accused him of “harassment and bullying at scale” after he and several others quit the organisation earlier this week.

The Duke of Sussex was said to have initiated the campaign by the “unleashing of the Sussex machine”.

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US evangelical groups urge Trump to spare HIV/Aids program from aid cuts

Christian organizations helped create Pepfar, credited with preventing 25m early deaths, particularly in Africa

Christian evangelical organizations instrumental in creating the US program that has saved millions of lives from HIV/Aids are pressing the Trump administration to rescue the scheme from crushing cuts to foreign assistance.

The state department has said that the two-decade-old President’s Emergency Plan for Aids Relief (Pepfar), which is estimated to have prevented 25m early deaths, is exempt from the cancellation of most US overseas aid. But the program is heavily reliant on logistical support from the US Agency for International Development (USAid), which has seen most of its projects killed off.

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US shutdown of HIV/Aids funding ‘could lead to 500,000 deaths in South Africa’

USAid cuts to clinics dispensing antiretroviral drugs will be ‘death sentence for mothers and children’, expert warns

Sweeping notices of termination of funding have been received by organisations working with HIV and Aids across Africa, with dire predictions of a huge rise in deaths as a result.

After the US announced a permanent end to funding for HIV projects, services across the board have been affected, say doctors and programme managers, from projects helping orphans and pregnant women to those reaching transgender individuals and sex workers.

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Trump administration ends funding for UN program fighting HIV/Aids

Peter Marocco sends letter to UNAids terminating US involvement in serious blow to live-saving health service

The Trump administration has terminated its funding of the joint United Nations program on HIV/Aids, known as UNAids, delivering another devastating blow to the global fight against the disease.

The notice that US funding of UNAids is being cut off is the latest move by the administration to end American involvement in life-saving health and anti-poverty programs around the world. It was issued by Peter Marocco, a Trump loyalist who is spearheading the evisceration of the US overseas aid program through USAid.

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Keir Starmer takes public HIV test in push to destigmatise testing for virus

Prime minister takes home test at No 10 with soul singer Beverley Knight to promote HIV Testing Week

Keir Starmer has taken a public HIV test in an effort to destigmatise testing for the virus and to highlight HIV Testing Week.

The prime minister took a home test at 10 Downing Street alongside the soul singer Beverley Knight. “It’s really important to do it and I’m really pleased to be able to do it. It’s very easy, very quick,” he said.

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Uncharted territory for the WHO if Trump withdraws US membership

WHO is ‘critical in protecting US business interests’, says CEO of firm that may see lean years if Trump carries out vow

The World Health Organization (WHO) could see lean years ahead if the US withdraws membership under the new Trump administration. Such a withdrawal, promised on the first day of Donald Trump’s new administration, would in effect cut the multilateral agency’s funding by one-fifth.

The severe cut would be uncharted territory for the WHO, potentially curtailing public health works globally, pressuring the organization to attract private funding, and providing an opening for other countries to influence the organization. Other countries are not expected to make up the funding loss.

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Contaminated blood scandal payouts to start by end of year, says UK government

Individuals could get up to £2.6m in compensation over blood products that caused HIV and hepatitis C

Victims of the contaminated blood scandal will begin receiving compensation before the end of the year, and some people will be entitled to more than £2.5m, the government has confirmed.

An outline of the long-awaited compensation scheme was set out in May, after the final report of the infected blood inquiry laid bare what Rishi Sunak, the then UK prime minister, called “a decades-long moral failure at the heart of our national life”.

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Doctor behind trial of HIV prevention drug recounts breakthrough moment

Prof Linda-Gail Bekker receives ovation at Aids summit after presenting trial results of ‘miracle’ drug lenacapavir

When the doctor behind the trial of a new HIV prevention drug heard the results, she could not contain her emotions. “I literally burst into tears,” said Prof Linda-Gail Bekker.

“I’m 62, I’ve lived through this epidemic … I had family members who died of HIV, as did many, many Africans – many people around the world,” she said.

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