United Nations news. Read online: https://news.un.org/en/story/2025/03/1160826
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The UN World Health Organization (WHO) warned on Wednesday that severe funding cuts – particularly in the United States – are threatening decades of progress in the fight against tuberculosis (TB), still the world’s deadliest infectious disease.
The health agency highlighted that essential prevention, testing and treatment services are collapsing, leaving millions at risk.
The hardest-hit regions include Africa, Southeast Asia and the Western Pacific, where national TB programmes depend heavily on international support.
“Any disruption to TB services – whether financial, political or operational – can have devastating and often fatal consequences for millions worldwide,” said Tereza Kasaeva, Director of WHO Global Programme on TB and Lung Health...
Over the past two decades, global TB programmes have saved more than 79 million lives, averting approximately 3.65 million deaths last year alone.
A significant portion of this success has been driven by US Government funding, which has provided about $200 to $250 million annually, approximately a quarter of the total international donor funding secured.
The US has been the largest bilateral donor for programmes combatting the disease.
However, newly announced cuts for 2025 through executive orders will have devastating impacts on TB response efforts in at least 18 high-burden countries, where 89 per cent of expected US funding was allocated for patient care.
The impact will be particularly devastating in Africa, where treatment disruptions and staff layoffs could exponentially increase TB transmission rates.
Immense burden
Early reports from TB-affected countries indicate that funding constraints are already dismantling essential health services.
Among the most pressing concerns are health worker layoffs, drug shortages and supply chain breakdowns, data and surveillance systems collapse as well as disruptions to TB research and funding.
“Without immediate action, hard-won progress in the fight against TB is at risk. Our collective response must be swift, strategic and fully resourced to protect the most vulnerable and maintain momentum toward ending TB,” urged Dr. Kasaeva.
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HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org