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Gates Report Says Child Deaths Rose in 2025 as Global Aid Fell

The assessment estimates about 200,000 additional under-five deaths versus 2024, citing a steep pullback in donor health funding.

Overview

  • The Goalkeepers Report projects up to 4.8 million under-five deaths this year linked to gaps in basic health services.
  • Bill Gates attributes the reversal partly to the dismantling of USAID and wider U.S. and European aid cuts, calling the agency’s closure a “gigantic mistake.”
  • The White House defends shifting assistance to align with U.S. interests and to promote partner self-sufficiency.
  • On his first day in office, President Trump froze foreign aid for 90 days and moved to dissolve USAID, leading to thousands of dismissals, cancellation of about 80% of programs, and integration into the State Department.
  • Gates warns recovery will take years and says he is pressing Trump to restore some support, noting reduced contributions to vaccine efforts such as Gavi.