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US cuts to HIV aid will cost millions of lives – UNAids chief

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US funding cuts will lead to an additional 2,000 new HIV infections each day and over six million further deaths over the next four years, the UNAids chief has warned.

It would mark a stark reversal in the global fight against HIV, which has seen the number of deaths from the disease decrease from more than two million in 2004 to 600,000 in 2023, the most recent year for which figures are available.

UNAids Executive Director Winnie Byanyima said the US government’s decision to pause foreign aid – which included funding for HIV programmes – was already having devastating consequences.

She called on the US to reverse the cuts immediately, warning women and girls were being hit particularly hard.

US President Donald Trump announced the pause on foreign aid, for an initial 90 days, on his first day in office in January as part of a review into government spending. The majority of the US Agency for International Development’s (USAID) programmes have since been terminated.

Many US-financed HIV treatment and prevention programmes received stop work orders, leading to the closure of mother and baby clinics in Africa, and severe shortages of life saving anti-retroviral (ARV) medicines.

Ms Byanyima said she feared a return to the 1990s, when HIV medication was scarcely available in poorer countries, and infections and deaths soared.

The US has for years been the single biggest funder of HIV treatment and prevention, and Ms Byanima thanked Washington for its generosity and humanity.

She added it was “reasonable” for the US “to want to reduce its funding – over time”, but said the “sudden withdrawal of lifesaving support [was] having a devastating impact”.

There has been no sign that Washington is listening to appeals to change course.

Traditional aid donors in Europe also plan funding cuts, and UNAids – the joint UN agency which combats HIV – has had no indication that other countries might step in to fill the gap left by the US.

Speaking in Geneva on Monday, Ms Byanyima described the case of Juliana, a young woman in Kenya living with HIV. She worked for a US-funded programme that supported new mothers to access treatment to ensure their babies did not develop the disease.

With the programme suspended, Ms Byanyima said Juliana was not only out of work but, because she was still breastfeeding her youngest child, she also feared losing the treatment she needed.

Previously, the World Health Organization (WHO) said eight countries – Nigeria, Kenya, Lesotho, South Sudan, Burkina Faso, Mali, Haiti and Ukraine – could soon run out of HIV drugs after the US funding pause.

WHO chief Tedros Adhanom Ghebreyesus warned that disruption to HIV programmes “could undo 20 years of progress”.

In February, South Africa’s leading Aids lobby group, the Treatment Action Campaign (TAC), warned the country could see a return to when HIV patients struggled to access necessary services for their treatment.

“We can’t afford to die, we can’t afford to go back to those years where we were suffering with access to services, especially for people living with HIV treatment,” said TAC chair Sibongile Tshabalala.

Ms Byanyima also proposed a deal to the Trump administration, offering an opportunity to market a new US-developed ARV to millions of people.

Lenacapavir, made by US company Gilead, is given by injection every six months, with UNAids believing 10 million people could benefit from it.

The profits and jobs resulting from such a deal would be hugely beneficial to the US, Ms Byanyima added.

UNAids is one of a number of UN agencies facing funding cuts.

The UN Refugee Agency has suggested it may have to lose 6,000 jobs, while Unicef has warned that progress to reduce child mortality is threatened, and the World Food Programme has had to cut rations in famine threatened regions.

[BBC]



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Russia and Ukraine agree naval ceasefire in Black Sea

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(file photo)Both sides agreed to end military activity in the Black Sea, the US said [BBC]

Russia and Ukraine have agreed to a naval ceasefire in the Black Sea in separate deals with the US, after three days of peace talks in Saudi Arabia.

Washington said all parties would continue working toward a “durable and lasting peace” in statements announcing the agreements, which would reopen an important trade route.

They have also committed to “develop measures” to implement a previously agreed ban on attacking each other’s energy infrastructure, the White House said.

But Russia said the naval ceasefire would only come into force after a number of sanctions against its food and fertiliser trade were lifted.

US officials have been separately meeting negotiators from Moscow and Kyiv in Riyadh with the aim of brokering a truce between the two sides. The Russian and Ukrainian delegations have not met directly.

Ukrainian President Volodymyr Zelensky said the deal to halt strikes in the Black Sea was a step in the right direction.

“It is too early to say that it will work, but these were the right meetings, the right decisions, the right steps,” he told a press conference in Kyiv.

“No-one can accuse Ukraine of not moving towards sustainable peace after this,” he added, after US President Donald Trump had previously accused him of blocking a peace deal.

But shortly after Washington’s announcement, the Kremlin said the Black Sea ceasefire would not take effect until sanctions were lifted from Russian banks, producers and exporters involved in the international food and fertiliser trades.

The measures demanded by Russia include reconnecting the banks concerned to the SwiftPay payment system, lifting restrictions on servicing ships under the Russian flag involved in the food trade, and on the supply of agricultural machinery and other goods needed for the production of food.

It was unclear from the White House’s statement when the agreement is meant to come into force.

When asked about lifting the sanctions, Trump told reporters: “We’re thinking about all of them right now. We’re looking at them.”

Washington’s statement on the US-Russia talks does say the US will “help restore Russia’s access to the world market for agricultural and fertiliser exports”.

Speaking in Kyiv, Zelensky described this as a “weakening of positions”.

He also said Ukraine would push for further sanctions on Russia and more military support from the US if Moscow reneged on its commitments.

Later, in his nightly address to Ukrainians, Zelensky accused the Kremlin of lying when it said the Black Sea ceasefire depended on sanctions being lifted.

Ukraine’s Defence Minister Rustem Umerov said “third countries” could oversee parts of the deal.

But he warned that the movement of Russian warships beyond the “eastern part of the Black Sea” would be treated as a violation of the agreement and a “threat to the national security of Ukraine”.

“In this case Ukraine will have full right to exercise right to self-defence,” he added.

A BBC graphic showing military control of Ukraine, with the Black Sea at the bottom

A previous arrangement allowing safe passage of commercial ships in the Black Sea was agreed in 2022, after Russia’s full-scale invasion of Ukraine in February of that year.

Both Ukraine and Russia are major grain exporters, and prices rocketed after the start of the war.

The “Black Sea grain deal” was put in place to allow cargo ships travelling to and from Ukraine to safely navigate without being attacked by Russia. The deal facilitated the movement of grain, sunflower oil and other products required for food production, such as fertiliser, through the Black Sea.

It was initially in place for a period of 120 days but, after multiple extensions, Russia pulled out in July 2023, claiming key parts of the agreement had not been implemented.

[BBC]

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Shreyas Iyer’s IPL best leads Punjab Kings to winning start

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Shreyas Iyer goes inside out against Sai Kishore [Cricinfo]

New (or returning) players have hogged the limelight this first week of IPL 2025 and it was no different in Ahmedabad where last season’s title-winning captain announced himself in grand style. Shreyas Iyer led Punjab Kings’ batting line-up to their highest total of all time, and then victory over Gujarat Titans by 11 runs.

Iyer had a century for the taking. He was 97 off 42 when the final over began, but he did not face a single ball of it, having told his partner Shashank Singh not to worry about the landmark. He had said prior to the start of the season that he wanted to bat at No. 3 and he showed against GT the extent of damage he can do from there. His career-best IPL score included nine sixes. Only once in this tournament has he cleared the boundary more often,  and to bat this way was a conscious decision.

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Prof. Gananath Obeyesekere passes away aged 95

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Emeritus Professor of Anthropology Gananath Obeyesekere has passed away at the age of 95.

 

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