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      An Invisible Medical Shortage: Oxygen

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      Oxygen is vital to many medical procedures. But a safe, affordable supply is severely lacking around the world, according to a new report.At the height of the Covid-19 pandemic, millions of people in poor nations died literally gasping for breath, even in hospitals. What they lacked was medical oxygen, which is in short supply in much of the world.On Monday, a panel of experts published a comprehensive report on the shortage. Each year, the report noted, more than 370 million people worldwide need oxygen as part of their medical care, but fewer than 1 in 3 receive it, jeopardizing the health and lives of those who do not. Access to safe and affordable medical oxygen is especially limited in low- and middle-income nations.“The need is very urgent,” said Dr. Hamish Graham, a pediatrician and a lead author of the report. “We know that there’s more epidemics coming, and there’ll be another pandemic, probably like Covid, within the next 15 to 20 years.”The report, published in The Lancet Global Health, comes just weeks after the Trump administration froze foreign aid programs, including some that could improve access to oxygen.Boosting the availability of medical oxygen would require an investment of about $6.8 billion, the report noted. “Within the current climate, that’s obviously going to become a bit more of a challenge,” said Carina King, an infectious disease epidemiologist at the Karolinska Institute and a lead author of the report.Still, she said, governments and funding organizations should prioritize medical oxygen because of its importance across health care. People of all ages may need oxygen for pneumonia and other respiratory conditions, for severe infections including malaria and sepsis, for surgeries and for chronic lung conditions.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump’s USAID Cuts Halt Agent Orange Victims Program in Vietnam

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      Nearly 40 years after she was born with a malformed spine and misshapen limbs — most likely because her father was exposed to Agent Orange, the toxic chemical that the American military used during the Vietnam War — Nguyen Thi Ngoc Diem finally got some help from the United States.A project funded by U.S.A.I.D. gave her graphic design training in 2022 and helped her land a job. Even when the company closed a few months ago, she stayed hopeful: The same program for Agent Orange victims was due to deliver a new computer, or a small loan.I was the first to tell her that the support may never come; that President Trump had frozen U.S.A.I.D. funding and planned to fire nearly everyone associated with the humanitarian agency.“It makes no sense,” Ms. Diem told me, her tiny body curled into a wheelchair, below a crucifix on the wall. “Agent Orange came from the U.S. — it was used here, and that makes us victims,” she said. “A little support for people like us means a lot, but at the same time, it’s the U.S.’s responsibility.”Ms. Diem had been expecting a small U.S. loan to help her buy a more modern computer for her graphic design work.Linh Pham for The New York TimesMs. Diem uses a computer from 2011. It often freezes and shuts down unexpectedly.Linh Pham for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Zelensky Says Ukraine Is Unlikely to Survive the War Without U.S. Support

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      His comments came on the first day of the Munich Security Conference, where anxious European officials had hoped to learn more about U.S. plans to broker peace talks.President Volodymyr Zelensky said in an excerpt from an NBC interview published Friday night that Ukraine had a low chance of surviving Russia’s assault without U.S. support.In the excerpt from “Meet the Press with Kristen Welker,” Mr. Zelensky said: “Probably it will be very, very, very difficult. And of course, in all the difficult situations, you have a chance. But we will have low chance — low chance to survive without support of the United States.”The full interview is set to be broadcast on Sunday, according to NBC.His comments were aired on the first day of the Munich Security Conference, where hundreds of anxious European diplomats and others gathered expecting to hear Vice President JD Vance speak about President Trump’s strategy to broker peace negotiations with Russia to end the war in Ukraine.But Mr. Vance mentioned Ukraine only in passing and offered no road map for negotiations or even any strategic vision of what Europe should look like after the most devastating ground war being waged on the continent in 80 years. Instead, he urged European nations to stop isolating their far-right parties, saying the biggest security threat was the suppression of free speech.Earlier in the week, Pete Hegseth, Mr. Trump’s defense secretary, jolted Kyiv and European allies of Ukraine by saying in a meeting with NATO and Ukrainian defense ministers in Brussels that the United States did not support Ukraine’s desire to join NATO as part of a peace plan. He also described a return to Ukraine’s borders before 2014 — when Russia annexed Crimea — as “unrealistic.”Mr. Trump has repeatedly suggested trading U.S. aid for Ukraine’s critical minerals, telling Fox News earlier this month that he wanted “the equivalent of like $500 billion worth of rare earths,” a group of minerals crucial for many high-tech products, in exchange for American aid. Ukraine had “essentially agreed to do that,” he said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Judge Extends Halt on Trump Plan to Dismantle U.S.A.I.D.

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      For at least another week, a judge will keep a hold on a directive placing more than 2,000 employees on administrative leave and forcing the return of overseas workers.A federal judge on Thursday moved to extend by one week a temporary restraining order preventing the Trump administration from carrying out plans that would all but dismantle the U.S. Agency for International Development.The order, which Judge Carl Nichols of the U.S. District Court for the District of Columbia said he would file later Thursday, continues to stall a directive that would put a quarter of its employees on administrative leave while forcing those posted overseas to return to the United States within 30 days.Judge Nichols said he would rule by the end of next week on whether to grant the plaintiffs’ request for a preliminary injunction that would indefinitely block key elements of the high-profile Trump administration effort.The plan was driven in large part by Elon Musk, the billionaire tech entrepreneur tasked with making cuts to the federal budget, to shutter an agency he and Mr. Trump have vilified. The temporary restraining order applies to about 2,700 direct hires of U.S.A.I.D., including hundreds of Foreign Service officers, who would have been put on administrative leave under the directive, which also warned that contractors’ jobs could be terminated.The lawsuit was filed by two unions representing the affected U.S.A.I.D. employees: the American Foreign Service Association, to which aid workers in global missions belong, and the American Federation of Government Employees, which represents other direct hires. They have argued that President Trump’s executive order freezing foreign aid for 90 days and subsequent directives to dismantle certain U.S.A.I.D. operations and reduce staff were unconstitutional, and have asked the court to overturn them.Democratic lawmakers, U.S.A.I.D. workers, and the aid organizations that depend on U.S. foreign assistance have decried any moves to unilaterally shut down the agency as unlawful, as its role in the federal government was established by law and Congress funded it, like the rest of the government, through March 14.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      USAID Lifesaving Aid Remains Halted Despite Rubio’s Promise

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      When Secretary of State Marco Rubio announced last month that lifesaving humanitarian work would be exempt from a freeze on foreign aid, global health workers breathed a collective sigh of relief.But a new directive has put such exemptions on hold.Several senior employees at the U.S.A.I.D. Bureau of Global Health received an email Tuesday telling them to “please hold off on any more approvals” pending further directions from the acting chief of staff, according to a copy reviewed by The New York Times.Senior officials at the Bureau of Humanitarian Affairs received similar instructions during a meeting this week, according to a person familiar with what transpired.For weeks, U.S.A.I.D. officials and the organizations, contractors and consultants who partner with them have struggled to continue the kind of work that Mr. Rubio promised to preserve — “core lifesaving medicine, medical services, food, shelter and substance assistance.”Some waivers have been issued to programs that fall under Mr. Rubio’s definition of “lifesaving” aid, but the payments system called Phoenix that U.S.A.I.D. relies on to disburse financial assistance has been inaccessible for weeks. That means even programs that received waivers have struggled to continue.The State Department did not reply to a request for comment for this article.On Tuesday, Elon Musk, the billionaire tech entrepreneur empowered by President Trump to combat the agency, told reporters in the Oval Office that the administration had “turned on funding for Ebola prevention and for H.I.V. prevention.” But in reality, the Ebola funding and virtually all of the H.I.V. prevention funding remains frozen, according to two U.S.A.I.D. employees and several aid groups.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      U.S.A.I.D. Workers Brace for the Worst

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      The thousands of people who work for the U.S. government’s main agency for humanitarian aid and disaster relief have been on the front lines of efforts to fight famine, contain virulent infectious diseases like H.I.V. and Ebola, and rebuild infrastructure in impoverished and war-torn countries.On Friday evening, just hours before the vast majority of them were set to have been suspended with pay or laid off, a court issued a limited, temporary order against the Trump administration’s moves to shut down the agency.The order was a temporary reprieve to approximately 2,700 direct hires of the U.S. Agency for International Development who were on administrative leave or set to be placed on leave by midnight Friday. For the past two weeks, they and the contractors who work for the agency had been in the throes of a collective panic as the Trump administration began to lay off staff and signaled it planned to decimate the agency.But the U.S.A.I.D. work force, and the aid industry that relies in large part on the agency’s funding, is still acutely in limbo. On Saturday, U.S.A.I.D. informed employees affected by the order that employees already on administrative leave would be reinstated until the end Friday, Feb. 14, and that no one else would be suspended with pay during that period, according to a copy of the notice viewed by The New York Times. But those employees could still have to wait for weeks, months, or potentially even longer, for a verdict. The case, which was brought on behalf of unions representing the workers, is expected to go to the Supreme Court, and it is unclear whether the jobs will ever exist again.The Trump administration’s announcement this week that U.S.A.I.D. would dismiss almost all of its contractors and that most Foreign Service officers and other direct hires would be put on indefinite administrative leave set off a panic around the globe, as Americans posted in missions abroad scrambled to dismantle and reassemble their lives.The announcement gave Foreign Service officers just 30 days to depart their posts and return to the United States if they wanted the U.S. government to pay for their relocation, forcing nearly the entire diplomatic staff to plan the sort of swift exit that normally only takes place during coups and wars.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump Orders Halt to Aid to South Africa, Claiming Mistreatment of White Landowners

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      President Trump on Friday ordered that all foreign assistance to South Africa be halted and said his administration would prioritize the resettling of white, “Afrikaner refugees” into the United States because of what he called actions by the country’s government that “racially disfavored landowners.”In the order, Mr. Trump said that “the United States shall not provide aid or assistance to South Africa” and that American officials should do everything possible to help “Afrikaners in South Africa who are victims of unjust racial discrimination.”It follows Mr. Trump’s accusation on his social media site on Sunday that the South African government was engaged in a “massive Human Rights VIOLATION, at a minimum.” He vowed a full investigation and promised to cut off aid.“South Africa is confiscating land, and treating certain classes of people VERY BADLY,” the president wrote in the post. “It is a bad situation that the Radical Left Media doesn’t want to so much as mention.”The order was stunning in providing official American backing to long-held conspiracy theories about the mistreatment of white South Africans in the post-apartheid era.Mr. Trump has made repeated claims without evidence that echoed those conspiracy theories. In 2018, he ordered his secretary of state to look into “the large scale killing of farmers” — a claim disputed by official figures and the country’s biggest farmers’ group.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      USAID Turmoil Threatens Key Aid Supplies to Gaza, Officials Say

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      The Trump administration’s efforts to downsize the United States Agency for International Development have endangered the funding for food, tents and medical treatment for hundreds of thousands of Palestinians in Gaza, according to U.S. officials and workers for humanitarian groups funded by the agency.Officials said that the threats to the aid supply chain risked destabilizing the fragile cease-fire agreement between Hamas and Israel, which is contingent on the weekly entry of 4,200 aid and commercial trucks to the territory.With almost all U.S.A.I.D. staff set to be placed on administrative leave by Friday night, there will be only a handful of officials left to sign off on and audit hundreds of millions of dollars in outstanding payments to the agency’s partners on the ground in Gaza, raising alarm about how those groups will fund their operations.Of more than 200 officials in the agency’s Mideast team, just 21 will remain in post to manage its entire regional portfolio, according to an internal agency email reviewed by The New York Times. The team that organizes emergency aid supplies in dozens of crisis zones around the world each year, of which Gaza was just one, is down to just 70 staff members from more than 1,000.This is expected to slow or prevent the delivery of food packages to hundreds of thousands of Palestinians, as well as tents, mattresses, blankets, hygiene kits and medical treatment, according to three officials and an aid worker. All four people spoke on the condition of anonymity because they were not authorized to speak to the news media.While the aid agency does not operate inside Gaza, it has provided roughly $1 billion in aid to international aid groups on the ground since the war began in October 2023 — about a third of the total aid response, according to the United Nations. Hundreds of millions of dollars have yet to be disbursed and now may never be transferred to United Nations agencies and other major aid organizations, three officials said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More